Gürkov Robert
*Department of Otorhinolaryngology Head and Neck Surgery †German Centre for Vertigo and Balance Disorder, University of Munich, München, Germany.
Otol Neurotol. 2017 Dec;38(10):e539-e544. doi: 10.1097/MAO.0000000000001479.
Over 75 years ago, endolymphatic hydrops was discovered as the pathologic correlate of Menière's disease. However, this pathologic finding could be ascertained only in postmortem histologic studies. Due to this diagnostic dilemma and the variable manifestation of the various audiovestibular symptoms, diagnostic classification systems based on clinical findings have been used hitherto.
A review of the literature of magnetic resonance (MR) imaging of hydropic ear disease.
Recent developments of high resolution MR imaging of the inner ear have now enabled us to visualize in vivo endolymphatic hydrops in patients with suspected Menière's disease. The existing knowledge from temporal bone histologic studies and from the emerging evidence on imaging based evaluation of patients with suspected Menière's disease indicate that endolymphatic hydrops not only is responsible for the full-blown clinical triad of simultaneous attacks of auditory and vestibular dysfunction, but also for other clinical presentations such as "vestibular" and "cochlear Menière's disease."
As a consequence, we propose the term "Hydropic Ear Disease" as a new terminology which is based on symptomatic and imaging characteristics of these clinical entities to clarify and simplify their diagnostic classification.
75 多年前，内淋巴积水被发现是梅尼埃病的病理相关因素。然而，这一病理发现仅能在尸检组织学研究中得以确定。由于这一诊断难题以及各种听觉和前庭症状的表现各异，迄今为止一直采用基于临床发现的诊断分类系统。
对积水性耳病的磁共振（MR）成像文献进行综述。
内耳高分辨率 MR 成像的最新进展现已使我们能够在体内观察疑似梅尼埃病患者的内淋巴积水情况。来自颞骨组织学研究的现有知识以及基于成像对疑似梅尼埃病患者进行评估的新证据表明，内淋巴积水不仅是导致听觉和前庭功能障碍同时发作的典型临床三联征的原因，也是其他临床表现如“前庭性”和“耳蜗性梅尼埃病”的原因。
因此，我们提议使用“积水性耳病”这一术语作为新的术语，它基于这些临床实体的症状和成像特征，以澄清并简化其诊断分类。
