Talenti Giacomo, Manara Renzo, Brotto Davide, D'Arco Felice
1 Department of Diagnostics and Pathology, Neuroradiology Unit, Verona University Hospital , Verona , Italy.
2 Department of Medicine, Surgery and Dentistry, Unit of Neuroradiology, Section of Neuroscience, Scuola Medica Salernitana, University of Salerno , Baronissi , Italy.
Br J Radiol. 2018 Sep;91(1089):20180120. doi: 10.1259/bjr.20180120. Epub 2018 May 17.
Inner ear malformations are recognized by imaging in about 20% of children with congenital sensorineural hearing loss. Normal development of the inner ear structures can be affected by many factors, including genetic anomalies as well as environmental destructive causes (ischemic, infectious, radiation and more). Recently, histopathological studies have provided new insights on the anatomy and pathogenesis of inner ear malformations, especially regarding incomplete partition and cochlear hypoplasia (CH), for which different subtypes have been identified. Factors known for interfering with normal inner ear development are numerous and sometimes act simultaneously, making the understanding of their pathophysiology more challenging. Vascular supply from the internal auditory canal seems to be critical for normal development of internal structures of the labyrinth while a premature arrest in the spatial development of the cochlea due to genetic or toxic factors may result in short cochlea (: CH). The aim of this essay is to show 3 T MRI appearances of the different subtypes of CH and incomplete partition introduced in the new classification (findings summary in Table 1).
在内耳畸形的先天性感音神经性听力损失儿童中,约20%可通过影像学检查识别。内耳结构的正常发育可能受到多种因素影响,包括基因异常以及环境破坏因素(缺血、感染、辐射等)。最近,组织病理学研究为内耳畸形的解剖学和发病机制提供了新见解,特别是关于不完全分隔和耳蜗发育不全(CH),已确定了不同亚型。已知干扰内耳正常发育的因素众多,有时还会同时起作用,这使得理解其病理生理学更具挑战性。内耳道的血管供应似乎对迷路内部结构的正常发育至关重要,而由于遗传或毒性因素导致耳蜗空间发育过早停滞可能会导致耳蜗短小(即CH)。本文旨在展示新分类中引入的CH和不完全分隔不同亚型的3T磁共振成像表现(表1总结了研究结果)。