Gadolinium-enhanced magnetic resonance imaging for evaluation of delayed EH

Discussion in 'Your Living Room' started by Vicki, Jan 29, 2016.

  1. Vicki

    Vicki Guest

    http://www.ncbi.nlm.nih.gov/pubmed/26799493

    Gadolinium-enhanced inner ear magnetic resonance imaging for evaluation of delayed endolymphatic hydrops, including a bilateral case.

    Fukushima M1,2, Oya R2, Akazawa H2, Tsuruta Y2, Inohara H2.



    Author information

    1a Department of Otolaryngology/Head and Neck Surgery , Kansai Rosai Hospital , Hyogo , Japan ;
    2b Department of Otolaryngology/Head and Neck Surgery , Osaka University, Graduate School of Medicine , Osaka , Japan.

    Abstract

    Conclusion The data suggests that gadolinium-enhanced inner ear MR imaging is useful for diagnosis of delayed endolymphatic hydrops (DEH) because it is independent of inner ear function, and the size of the affected endolymphatic space is clearly enlarged. Objective This study was performed to semi-quantitatively evaluate the endolymphatic space in patients with all types of DEH using gadolinium-enhanced inner ear magnetic resonance (MR) imaging. Patients and methods Seven patients (age range = 21-77 years; five female, two male) with ipsilateral DEH (n = 5), contralateral DEH (n = 1), and bilateral DEH (n = 1). All patients underwent 3T MR imaging 4 h after intravenous injection of gadolinium. Software was used to determine the size of the endolymphatic space. Pure tone audiometry and caloric testing using an electronystagmogram were carried out. Results One side of the endolymphatic space was dominantly extended in patients with ipsilateral DEH, and both sides of the space were extended in patients with contralateral and bilateral DEH. In patients with ipsilateral DEH, the volume ratio of endolymph to vestibule was
     
  2. hopefulstill

    hopefulstill Member

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    Jul 27, 2015
    I am having this done on Monday. Can't wait to hear results.
     
  3. Vicki

    Vicki Guest

    wow that's great! Please let us know your results, are you in the US? if not where are you having it done?
     
  4. hopefulstill

    hopefulstill Member

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    Jul 27, 2015
    I am in Phoenix, AZ. The doctor is John D. Macias.
     
  5. Lisa

    Lisa Member

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    Mar 21, 2015
    What is delayed endolphatic hydrops?
     
  6. Gustav123

    Gustav123 Is it great yet?

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    May 12, 2014
    How did it go and did you get results? I believe that its hard or was to find the right protocol in the US. Its has to be a 3T MRI and i think the contrast needs to be injected an hour or so before the MRI. I had it done and none of that was followed and they found no hydrops, which is possible but I believe ,based on my symptoms and now lack of them following treatment, that i do have hydrops.
     
  7. imback

    imback Member

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    Aug 8, 2014
    I was going to ask where can this test be done? Is it widely available?
     
  8. Vicki

    Vicki Guest

    I am curious too how it went too
    but you are right Gustav it needs to be 3T MRI but done 4 hours after the injection at least all the studies I read including this one.
    Also they are finding not all people with MM have hydrops.
     

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