Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation

Pfeiffer C, Gehl H-B, Scholtz L-U, Goon P, Sudhoff H, Todt I (2023)
Brain Sciences 13(6): 853.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Abstract / Bemerkung
Introduction: Cochlear implantation in patients with Ménière’s disease (MD) is the treatment of choice in cases of functional deafness. Additional vertigo control is of central importance in this group of patients. Endolymphatic hydrops (ELH) is the pathophysiological correlate of MD and can be evaluated by magnet resonance imaging (MRI). Bilateral MD occurs in 10–33% and can be the reason for a postoperative persisting or newly occurring vertigo in this group. Recent developments in the field of implant magnets and experience in MRI sequences allow the diagnostic performance of MRI in cochlear implantees to be evaluated. The aim of the present study was to evaluate the possibility of MRI as a visual diagnostic tool for endolymphatic hydrops in cochlear implantees. Material and Methods: This was a retrospective study including three cochlear implantees (age: 61–76 years, one female, two male) suffering from MD who, postoperatively, had a recurrence of vertigo with Ménière’s-like symptoms. An MRI was performed for the evaluation of ELH (ELH-MRI). MRI observation was performed by a 4 h iv. delayed Gad 3 D Flair sequence. Results: In all cases, the ipsilateral implant magnet artifact covered the vestibulum, the semicircular canals and the cochlea. The contralateral vestibulum, the semicircular canal and the cochlea were fully observable, and a classification of the ELH-MRI could be performed. Conclusion: ELH-MRI scanning allows for the detection of contralateral labyrinthine endolymphatic hydrops and is a tool for the postoperative evaluation of vertigo in cochlear implantees.
Stichworte
cochlea implant; endolymphatic hydrops; magnet resonance imaging; morbus Ménière
Erscheinungsjahr
2023
Zeitschriftentitel
Brain Sciences
Band
13
Ausgabe
6
Art.-Nr.
853
eISSN
2076-3425
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Universität Bielefeld gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2979869

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Pfeiffer C, Gehl H-B, Scholtz L-U, Goon P, Sudhoff H, Todt I. Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation. Brain Sciences. 2023;13(6): 853.
Pfeiffer, C., Gehl, H. - B., Scholtz, L. - U., Goon, P., Sudhoff, H., & Todt, I. (2023). Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation. Brain Sciences, 13(6), 853. https://doi.org/10.3390/brainsci13060853
Pfeiffer, Christoph, Gehl, Hans-Björn, Scholtz, Lars-Uwe, Goon, Peter, Sudhoff, Holger, and Todt, Ingo. 2023. “Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation”. Brain Sciences 13 (6): 853.
Pfeiffer, C., Gehl, H. - B., Scholtz, L. - U., Goon, P., Sudhoff, H., and Todt, I. (2023). Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation. Brain Sciences 13:853.
Pfeiffer, C., et al., 2023. Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation. Brain Sciences, 13(6): 853.
C. Pfeiffer, et al., “Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation”, Brain Sciences, vol. 13, 2023, : 853.
Pfeiffer, C., Gehl, H.-B., Scholtz, L.-U., Goon, P., Sudhoff, H., Todt, I.: Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation. Brain Sciences. 13, : 853 (2023).
Pfeiffer, Christoph, Gehl, Hans-Björn, Scholtz, Lars-Uwe, Goon, Peter, Sudhoff, Holger, and Todt, Ingo. “Endolymphatic Hydrops Magnet Resonance Imaging in Ménière’s Disease Patients after Cochlea Implantation”. Brain Sciences 13.6 (2023): 853.
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2023-06-12T08:37:58Z
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