Yoshida Tadao, Naganawa Shinji, Kobayashi Masumi, Sugimoto Satofumi, Katayama Naomi, Nakashima Tsutomu, Kato Yutaka, Ichikawa Kazushige, Yamaguchi Hiroshi, Nishida Kazuki, Sone Michihiko
Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Front Neurol. 2022 Nov 3;13:1016577. doi: 10.3389/fneur.2022.1016577. eCollection 2022.
We evaluated the inner ear distribution of O-labeled saline administered to the human tympanic cavity. Magnetic resonance imaging was performed after intratympanic administration in five healthy volunteers and one patient with cochlear endolymphatic hydrops. In all volunteers, O-labeled water permeated the cochlear basal turn and vestibule at 30 min and disappeared gradually within 2-4 h. All participants experienced positional vertigo lasting a few hours to a few days. Visualization of O-labeled water distribution in the endolymphatic space of the posterior ampulla showed indistinct separation of endolymph and perilymph in the cochlea and most of the vestibule in all participants. Intralabyrinthine distribution of O-labeled water differed from that in previous reports of intratympanically administered gadolinium-based contrast agent. O-labeled water in the endolymphatic space may cause heavier endolymph and positional vertigo. These results of this study may add new insights for investigating the distribution and the effects of molecules in the inner ear after the intratympanic administration in living humans.
我们评估了注入人鼓室的氧标记盐水在内耳的分布情况。对5名健康志愿者和1名患有耳蜗内淋巴积水的患者进行鼓室内给药后,进行了磁共振成像。在所有志愿者中,氧标记水在30分钟时渗透到耳蜗底转和前庭,并在2 - 4小时内逐渐消失。所有参与者均经历了持续数小时至数天的位置性眩晕。对后半规管内淋巴间隙中氧标记水分布的可视化显示,所有参与者的耳蜗和大部分前庭内淋巴和外淋巴的分离不明显。氧标记水在迷路内的分布与先前关于鼓室内注射钆基造影剂的报道不同。内淋巴间隙中的氧标记水可能会导致内淋巴加重和位置性眩晕。本研究的这些结果可能为研究活体人类鼓室内给药后内耳中分子的分布和作用提供新的见解。