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1 results

  • Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging findings in a patient with relapsing polychondritis

  • M Kato, N Katayama, S Naganawa, T Nakashima
  • Journal:
    The Journal of Laryngology & Otology / Volume 128 / Issue 2 / February 2014
    Published online by Cambridge University Press:
    04 February 2014, pp. 192-194
    Print publication:
    February 2014
  • Objective:

    We report three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging findings in a patient with relapsing polychondritis.

    Method:

    Case report.

    Result:

    A 76-year-old woman initially presented with bilateral auricular swelling together with dyspnoea. Three months later, she experienced left hearing loss and recurrent vertigo. A biopsy of the auricle was performed and relapsing polychondritis was diagnosed. The patient underwent three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging 4 hours after intravenous injection of a standard dose of gadolinium. Gadolinium enhancement was visible throughout the vestibule and the endolymphatic space could not be visualised, suggesting breakdown of the blood–labyrinth barrier.

    Conclusion:

    This is the first radiological report to demonstrate breakdown of the blood–labyrinth barrier in a case of relapsing polychondritis with inner ear impairment.