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[重度及中度重度梅尼埃病迷路内淋巴积水的神经影像学表现]

[Neuroimaging of the endolymphatic hydrops of the labyrinth in severe and moderately severe Meniere's disease].

作者信息

Kryukov A I, Kunelskaya N L, Garov E V, Stepanova E A, Baybakova E V, Yanyushkina E S, Chugunova M A, Zaoeva Z O, Abramenko A S, Larionova E V

机构信息

Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.

Pirogov Russian National Research Medical University, Moscow, Russia.

出版信息

Vestn Otorinolaringol. 2021;86(6):4-9. doi: 10.17116/otorino2021860614.

Abstract

The results of magnetic resonance imaging (MRI) of the inner ear 24 hours after intratympanic administration of 1 ml of diluted (1:7) contrast substance for gadolinium-based MRI in 43 patients with moderate and severe Meniere's disease course are presented. It has been revealed that in case of severe and moderate course of Meniere's disease endolymphatic hydrops is presented in all departments of labyrinth: cochlea, vestibule, semicircular canals, but is most pronounced in vestibular department of labyrinth: horizontal semicircular canal and vestibule. The neuroimaging method according to the presented protocol is safe and can be applied in a wide practice both to assess the presence and localization, and the degree of expression of the endolymphatic hydrops.

摘要

本文呈现了43例中度和重度梅尼埃病患者在鼓室内注射1ml稀释(1:7)钆对比剂进行基于钆的磁共振成像(MRI)24小时后内耳的MRI结果。研究发现,在中度和重度梅尼埃病病程中,内淋巴积水出现在迷路的所有部位:耳蜗、前庭、半规管,但在迷路的前庭部位最为明显:水平半规管和前庭。根据所提出的方案,神经成像方法是安全的,可广泛应用于评估内淋巴积水的存在、定位及表达程度。

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