Musat Gabriela Cornelia, Sarafoleanu Codrut, Preda Mihai Alexandru, Tataru Calin Petru, Mitroi George G, Musat Andreea Alexandra Mihaela, Radu Mihnea, Musat Ovidiu
ENT Department, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Ophthalmology, Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Diagnostics (Basel). 2025 May 16;15(10):1272. doi: 10.3390/diagnostics15101272.
This review focuses on the contribution of medical imaging in the diagnosis of peripheral vestibular disorders. This is a narrative review based on a focused literature search conducted using PubMed and the Cochrane Library. Imaging is not usually recommended in initial consultations for vestibular disorders because only 5-10% of MRI scans reveal findings directly related to the disease. The study is a review of the literature that highlights the utility and limitations of imaging such as computed tomography (CT) and magnetic resonance imaging (MRI). It follows the diagnostic approach from history and physical examination to laboratory tests and imaging. Some conditions like vestibular neuritis and benign paroxysmal positional vertigo (BPPV) have limited imaging utility due to the fine details required. Conversely, high-resolution CT and MRI are important for diagnosing Meniere's disease, acoustic neuroma, and superior canal dehiscence. The role of imaging varies a lot among specific conditions. Advances in imaging technology, particularly high-resolution MRI, promise enhanced diagnostic capabilities.
本综述聚焦于医学成像在外周性前庭疾病诊断中的作用。这是一篇基于使用PubMed和Cochrane图书馆进行的针对性文献检索的叙述性综述。对于前庭疾病的初次会诊，通常不建议进行成像检查，因为只有5% - 10%的MRI扫描显示出与疾病直接相关的结果。该研究是对文献的综述，突出了计算机断层扫描（CT）和磁共振成像（MRI）等成像技术的效用和局限性。它遵循从病史和体格检查到实验室检查及成像的诊断方法。由于所需的精细细节，一些疾病如前庭神经炎和良性阵发性位置性眩晕（BPPV）的成像效用有限。相反，高分辨率CT和MRI对于梅尼埃病、听神经瘤和半规管裂的诊断很重要。成像技术在特定疾病中的作用差异很大。成像技术的进步，特别是高分辨率MRI，有望增强诊断能力。
