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Inner Ear Pathology

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Temporal Bone Imaging

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Imaging one of the smallest organs in the human body such as the inner ear frequently challenges the radiologist to depict millimetric changes in the labyrinth. Fortunately, the continuously increasing resolution of computed tomography (CT) as well as magnetic resonance imaging (MRI) makes it possible to see pathology in the labyrinth that was not detectable before. MRI is the technique of choice to image most of the acquired inner ear changes, but as in many parts of the body, CT will still be complementary in making the correct diagnosis. This chapter will try to focus on some characteristic features of the different pathologies and how to differentiate them from other lesions.

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References

  • Aho TR, Daspit CP, Dean BL, Wallace RC (2003) Intralabyrinthine meningioma. AJNR Am J Neuroradiol 24:1642–1645

    PubMed  Google Scholar 

  • American Academy of Otolaryngology-Head and Neck Foundation, Inc. (1995) Committee on hearing and equilibrium guidelines for the diagnosis and evaluation of therapy in Menière’s disease. Otolaryngol Head Neck Surg 113:181–185

    Article  Google Scholar 

  • Amoodi HA, Makki FM, McNeil M, Bance M (2011) Transmastoid resurfacing of superior semicircular canal dehiscence. Laryngoscope 121:1117–1123

    Article  PubMed  Google Scholar 

  • Benson AG (2010) Labyrinthitis ossificans secondary to autoimmune inner ear disease: a previously unreported condition. Otolaryngol Head Neck Surg 142:772–773

    Article  PubMed  Google Scholar 

  • Berrettini S, Seccia V, Fortunato S, Forli F, Bruschini L, Piaggi P, Canapicchi R (2013) Analysis of the 3-dimensional fluid-attenuated inversion-recovery (3D-FLAIR) sequence in idiopathic sudden sensorineural hearing loss. JAMA Otolaryngol Head Neck Surg 139:456–464

    Article  PubMed  Google Scholar 

  • Beyea JA, Agrawal SK, Parnes LS (2012) Transmastoid semicircular canal occlusion: a safe and highly effective treatment for benign paroxysmal positional vertigo and superior canal dehiscence. Laryngoscope 122:1862–1866

    Article  PubMed  Google Scholar 

  • Bouchetemblé P, Heathcote K, Tollard E, Choussy O, Dehesdin D, Marie JP (2013) Intralabyrinthine schwannomas: a case series with discussion of the diagnosis and management. Otol Neurotol 34:944–951

    Google Scholar 

  • Bovo R, Ciorba A, Trevisi P, Aimoni C, Cappiello L, Castiglione A, Govoni M, Martini A (2011) Cochlear implant in Cogan syndrome. Acta Otolaryngol 131:494–497

    Article  PubMed  Google Scholar 

  • Brandolini C, Modugno GC, Pirodda A (2014) Dehiscence of the superior semicircular canal: a review of the literature on its possible pathogenic explanations. Eur Arch Otorhinolaryngol 271:435–437

    Google Scholar 

  • Branstetter BF 4th, Harrigal C, Escott EJ, Hirsch BE (2006) Superior semicircular canal dehiscence: oblique reformatted CT images for diagnosis. Radiology 238:938–942

    Article  PubMed  Google Scholar 

  • Cadoni G, Cianfoni A, Agostino S, Scipione S, Tartaglione T, Galli J, Colosimo C (2006) Magnetic resonance imaging findings in sudden sensorineural hearing loss. J Otolaryngol 35:310–316

    Article  PubMed  Google Scholar 

  • Carfrae MJ, Holtzman A, Eames F, Parnes SM, Lupinetti A (2008) 3 Tesla delayed contrast magnetic resonance imaging evaluation of Ménière’s disease. Laryngoscope 118:501–505

    Article  PubMed  Google Scholar 

  • Casselman JW, Kuhweide R, Ampe W, Meeus L, Steyaert L (1993) Pathology of the membranous labyrinth: comparison of T1- and T2-weighted and gadolinium-enhanced spin-echo and 3DFT-CISS imaging. AJNR Am J Neuroradiol 14:59–69

    PubMed  CAS  Google Scholar 

  • Casselman JW, Majoor MH, Albers FW (1994) MR of the inner ear in patients with Cogan syndrome. AJNR Am J Neuroradiol 15:131–138

    PubMed  CAS  Google Scholar 

  • Chien WW, Carey JP, Minor LB (2011) Canal dehiscence. Curr Opin Neurol 24:25–31

    Article  PubMed  Google Scholar 

  • Claes G, Van den Hauwe L, Wuyts F, Van de Heyning P (2012) Does intratympanic gadolinium injection predict efficacy of gentamicin partial chemolabyrinthectomy in Menière’s disease patients? Eur Arch Otorhinolaryngol 269:413–418

    Article  PubMed  Google Scholar 

  • Crovetto M, Whyte J, Rodriguez OM, Lecumberri I, Martinez C, Eléxpuru J (2010) Anatomo-radiological study of the superior semicircular canal dehiscence radiological considerations of superior and posterior semicircular canals. Eur J Radiol 76:167–172

    Google Scholar 

  • Curry JM, King N, O’Reilly RC, Corao D (2010) Inflammatory pseudotumor of the inner ear: are computed tomography changes pathognomonic? Laryngoscope 120:1252–1255

    PubMed  Google Scholar 

  • Dahlen RT, Johnson CE, Harnsberger HR, Biediger CP, Syms CA, Fischbein NJ, Schwartz JM (2002) CT and MR imaging characteristics of intravestibular lipoma. AJNR Am J Neuroradiol 23:1413–1417

    PubMed  Google Scholar 

  • De Foer B, Kenis C, Vercruysse JP, Somers T, Pouillon M, Offeciers E, Casselman JW (2009) Imaging of temporal bone tumors. Neuroimaging Clin N Am 19:339–366

    Article  PubMed  Google Scholar 

  • de Souza C, Paparella MM, Schachern P, Yoon TH (1991) Pathology of labyrinthine ossification. J Laryngol Otol 105:621–624

    Article  Google Scholar 

  • Dubrulle F, Kohler R, Vincent C, Puech P, Ernst O (2010) Differential diagnosis and prognosis of T1-weighted post-gadolinium intralabyrinthine hyperintensities. Eur Radiol 20:2628–2636

    Article  PubMed  CAS  Google Scholar 

  • Fierek O, Laskawi R, Kunze E (2004) Large intraosseous hemangioma of the temporal bone in a child. Ann Otol Rhinol Laryngol 113:394–398

    Article  PubMed  Google Scholar 

  • Fortnum H, Davis A (1993) Hearing impairment in children after bacterial meningitis: incidence and resource implications. Br J Audiol 27:43–52

    Article  PubMed  CAS  Google Scholar 

  • Foster CA, Breeze RE (2013) Endolymphatic hydrops in Ménière’s disease: cause, consequence, or epiphenomenon? Otol Neurotol 34:1210–1214

    Article  PubMed  Google Scholar 

  • Greco A, Gallo A, Fusconi M, Magliulo G, Turchetta R, Marinelli C, Macri GF, De Virgilio A, de Vincentiis M (2013) Cogan’s syndrome: an autoimmune inner ear disease. Autoimmun Rev 12:396–400

    Article  PubMed  CAS  Google Scholar 

  • Grieve SM, Obholzer R, Malitz N, Gibson WP, Parker GD (2012) Imaging of endolymphatic hydrops in Meniere’s disease at 1.5 T using phase-sensitive inversion recovery: (1) demonstration of feasibility and (2) overcoming the limitations of variable gadolinium absorption. Eur J Radiol 81:331–338

    Article  PubMed  Google Scholar 

  • Gürkov R, Flatz W, Louza J, Strupp M, Ertl-Wagner B, Krause E (2012) In vivo visualized endolymphatic hydrops and inner ear functions in patients with electrocochleographically confirmed Ménière’s disease. Otol Neurotol 33:1040–1045

    Article  PubMed  Google Scholar 

  • Hegarty JL, Patel S, Fischbein N, Jackler RK, Lalwani AK (2002) The value of enhanced magnetic resonance imaging in the evaluation of endocochlear disease. Laryngoscope 112:8–17

    Article  PubMed  Google Scholar 

  • Helmchen C, Jäger L, Büttner U, Reiser M, Brandt T (1998) Cogan’s syndrome. High resolution MRI indicators of activity. J Vestib Res 8:155–167

    Article  PubMed  CAS  Google Scholar 

  • Jang CH, Park SY, Wang PC (2005) A case of tympanogenic labyrinthitis complicated by acute otitis media. Yonsei Med J 46:161–165

    Article  PubMed  PubMed Central  Google Scholar 

  • Karanja BW, Oburra HO, Masinde P, Wamalwa D (2013) Risk factors for hearing loss in children following bacterial meningitis in a tertiary referral hospital. Int J Otolaryngol 2013:354725

    Article  PubMed  PubMed Central  Google Scholar 

  • Kennedy RJ, Shelton C, Salzman KL, Davidson HC, Harnsberger HR (2004) Intralabyrinthine schwannomas: diagnosis, management, and a new classification system. Otol Neurotol 25:160–167

    Article  PubMed  Google Scholar 

  • Kuhweide R, Van de Steene V, Vlaminck S, Casselman JW (2002) Ramsay Hunt syndrome: pathophysiology of cochleovestibular symptoms. J Laryngol Otol 116:844–848

    Article  PubMed  CAS  Google Scholar 

  • Lee HY, Jung SY, Park MS, Yeo SG, Lee SY, Lee SK (2012) Feasibility of three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging as a prognostic factor in patients with sudden hearing loss. Eur Arch Otorhinolaryngol 269:1885–1891

    Article  PubMed  Google Scholar 

  • Lemmerling MM, De Foer B, Verbist BM, VandeVyver V (2009) Imaging of inflammatory and infectious diseases in the temporal bone. Neuroimaging Clin N Am 19:321–337

    Article  PubMed  Google Scholar 

  • Mafee MF (1995) MR imaging of intralabyrinthine schwannoma, labyrinthitis and other labyrinthine pathology. Otolaryngol Clin N Am 28:407–430

    CAS  Google Scholar 

  • Mazlumzadeh M, Matteson EL (2007) Cogan’s syndrome: an audiovestibular, ocular, and systemic autoimmune disease. Rheum Dis Clin North Am 33:855–874

    Article  PubMed  Google Scholar 

  • Minor LB, Solomon D, Zinreich JS, Zee DS (1998) Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 124:249–258

    Article  PubMed  CAS  Google Scholar 

  • Minor LB (2005) Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 115:1717–1727

    Article  PubMed  Google Scholar 

  • Miracle AC, Mukherji SK (2009) Conebeam CT of the head and neck, part 2: clinical applications. AJNR Am J Neuroradiol 30:1285–1292

    Google Scholar 

  • Morton CC, Nance WE (2006) Newborn hearing screening—a silent revolution. N Engl J Med 354:2151–2164

    Google Scholar 

  • Mueller SA, Vibert D, Haeusler R, Raabe A, Caversaccio M (2014) Surgical capping of superior semicircular canal dehiscence. Eur Arch Otorhinolaryngol 271:1369–1374

    Google Scholar 

  • Naganawa S, Satake H, Kawamura M, Fukatsu H, Sone M, Nakashima T (2008) Separate visualization of endolymphatic space, perilymphatic space and bone by a single pulse sequence; 3D-inversion recovery imaging utilizing real reconstruction after intratympanic Gd-DTPA administration at 3 Tesla. Eur Radiol 18:920–924

    Article  PubMed  Google Scholar 

  • Naganawa S, Nakashima T (2009) Cutting edge of inner ear MRI. Acta Otolaryngol Suppl 560:15–21

    Article  PubMed  Google Scholar 

  • Naganawa S, Yamazaki M, Kawai H, Bokura K, Sone M, Nakashima T (2012) Visualization of endolymphatic hydrops in Ménière’s disease after single-dose intravenous gadolinium-based contrast medium: timing of optimal enhancement. Magn Reson Med Sci 11:43–51

    Article  PubMed  CAS  Google Scholar 

  • Naganawa S, Yamazaki M, Kawai H, Bokura K, Sone M, Nakashima T (2013) Visualization of endolymphatic hydrops in Ménière’s disease after intravenous administration of single-dose gadodiamide at 1.5 T. Magn Reson Med Sci 12:137–139

    Google Scholar 

  • Nakashima T, Naganawa S, Sugiura M, Teranishi M, Sone M, Hayashi H, Nakata S, Katayama N, Ishida IM (2007) Visualization of endolymphatic hydrops in patients with Meniere’s disease. Laryngoscope 117:415–420

    Article  PubMed  Google Scholar 

  • Nakashima T, Naganawa S, Pyykko I, Gibson WP, Sone M, Nakata S, Teranishi M (2009) Grading of endolymphatic hydrops using magnetic resonance imaging. Acta Otolaryngol Suppl 560:5–8

    Article  PubMed  Google Scholar 

  • Nakashima T, Naganawa S, Teranishi M, Tagaya M, Nakata S, Sone M, Otake H, Kato K, Iwata T, Nishio N (2010) Endolymphatic hydrops revealed by intravenous gadolinium injection in patients with Ménière’s disease. Acta Otolaryngol 130:338–343

    Article  PubMed  CAS  Google Scholar 

  • Neff BA, Willcox TO Jr, Sataloff RT (2003) Intralabyrinthine schwannomas. Otol Neurotol 24:299–307

    Article  PubMed  Google Scholar 

  • Nicoucar K, Sakbani K, Vukanovic S, Guyot JP (2005) Intralabyrinthine haemorrhage following cocaine consumption. Acta Otolaryngol 125:899–901

    Article  PubMed  Google Scholar 

  • Otake H, Sugiura M, Naganawa S, Nakashima T (2006) 3D-FLAIR magnetic resonance imaging in the evaluation of mumps deafness. Int J Pediatr Otorhinolaryngol 70:2115–2117

    Article  PubMed  Google Scholar 

  • Peltonen LI, Aarnisalo AA, Kortesniemi MK, Suomalainen A, Jero J, Robinson S (2007) Limited cone-beam computed tomography imaging of the middle ear: a comparison with multislice helical computed tomography. Acta Radiol 48:207–212

    Article  PubMed  CAS  Google Scholar 

  • Penninger RT, Tavassolie TS, Carey JP (2011) Cone-beam volumetric tomography for applications in the temporal bone. Otol Neurotol 32:453–460

    Google Scholar 

  • Poh AC, Tan TY (2007) Sudden deafness due to intralabyrinthine haemorrhage: a possible rare late complication of head and neck irradiation. Ann Acad Med Singapore 36:78–82

    PubMed  Google Scholar 

  • Ryu IS, Yoon TH, Ahn JH, Kang WS, Choi BS, Lee JH, Shim MJ (2011) Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging in sudden sensorineural hearing loss: correlations with audiologic and vestibular testing. Otol Neurotol 32:1205–1209

    Article  PubMed  Google Scholar 

  • Salomone R, Abu TA, Chaves AG, Bocalini MC, Ade OV, Riskalla PE (2008) Sudden hearing loss caused by labyrinthine hemorrhage. Braz J Otorhinolaryngol 74:776–779

    PubMed  Google Scholar 

  • Salzman KL, Childs AM, Davidson HC, Kennedy RJ, Shelton C, Harnsberger HR (2012) Intralabyrinthine schwannomas: imaging diagnosis and classification. AJNR Am J Neuroradiol 33:104–109

    Article  PubMed  CAS  Google Scholar 

  • Seltzer S, Mark AS (1991) Contrast enhancement of the labyrinth on MR scans in patients with sudden hearing loss and vertigo: evidence of labyrinthine disease. AJNR Am J Neuroradiol 12:13–16

    PubMed  CAS  Google Scholar 

  • Smith MM, Anderson JC (2000) Neurosyphilis as a cause of facial and vestibulocochlear nerve dysfunction: MR imaging features. AJNR Am J Neuroradiol 21:1673–1675

    PubMed  CAS  Google Scholar 

  • Stachler RJ, Chandrasekhar SS, Archer SM, Rosenfeld RM, Schwartz SR, Barrs DM, Brown SR, Fife TD, Ford P, Ganiats TG, Hollingsworth DB, Lewandowski CA, Montano JJ, Saunders JE, Tucci DL, Valente M, Warren BE, Yaremchuk KL, Robertson PJ, American Academy of Otolaryngology-Head and Neck Surgery (2012) Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 146(3 Suppl):S1–S35

    Article  PubMed  Google Scholar 

  • Stokroos RJ, Albers FW, Krikke AP, Casselman JW (1998) Magnetic resonance imaging of the inner ear in patients with idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol 255:433–436

    Article  PubMed  CAS  Google Scholar 

  • Stone JH, Francis HW (2000) Immune-mediated inner ear disease. Curr Opin Rheumatol 12:32–40

    Article  PubMed  CAS  Google Scholar 

  • Sugiura M, Naganawa S, Teranishi M, Sato E, Kojima S, Nakashima T (2006) Inner ear hemorrhage in systemic lupus erythematosus. Laryngoscope 116:826–828

    Article  PubMed  Google Scholar 

  • Sugiura M, Naganawa S, Nakata S, Kojima S, Nakashima T (2007) 3D-FLAIR MRI findings in a patient with Ramsay Hunt syndrome. Acta Otolaryngol 127:547–549

    Article  PubMed  Google Scholar 

  • Swartz JD, Mandell DM, Faerber EN, Popky GL, Ardito JM, Steinberg SB, Rojer CL (1985) Labyrinthine ossification: etiologies and CT findings. Radiology 157:395–398

    Article  PubMed  CAS  Google Scholar 

  • Tanigawa T, Tanaka H, Sato T, Nakao Y, Katahira N, Tsuchiya Y, Nonoyama H, Ueda H (2010) 3D-FLAIR MRI findings in patients with low-tone sudden deafness. Acta Otolaryngol 130:1324–1328

    Article  PubMed  Google Scholar 

  • Teszler CB, Williams MT, Belange G, Ayache D (2008) Labyrinthitis related to Wegener granulomatosis: magnetic resonance imaging findings. Otol Neurotol 29:721–722

    PubMed  Google Scholar 

  • Tieleman A, Casselman JW, Somers T, Delanote J, Kuhweide R, Ghekiere J, De Foer B, Offeciers EF (2008) Imaging of intralabyrinthine schwannomas: a retrospective study of 52 cases with emphasis on lesion growth. AJNR Am J Neuroradiol 29:898–905

    Article  PubMed  CAS  Google Scholar 

  • Tinling SP, Colton J, Brodie HA (2004) Location and timing of initial osteoid deposition in postmeningitic labyrinthitis ossificans determined by multiple fluorescent labels. Laryngoscope 114:675–680

    Article  PubMed  Google Scholar 

  • Toyama C, da Silva CJ, Braga FT, Brito R (2009) Intralabyrinthine hemorrhage associated with superficial siderosis of the central nervous system. Otol Neurotol 30:121–122

    Article  PubMed  Google Scholar 

  • Vlastarakos PV, Proikas K, Tavoulari E, Kikidis D, Maragoudakis P, Nikolopoulos TP (2009) Efficacy assessment and complications of surgical management for superior semicircular canal dehiscence: a meta-analysis of published interventional studies. Eur Arch Otorhinolaryngol 266:177–186

    Article  PubMed  Google Scholar 

  • Wang JR, Yuen HW, Shipp DB, Stewart S, Lin VY, Chen JM, Nedzelski JM (2010) Cochlear implantation in patients with autoimmune inner ear disease including Cogan syndrome: a comparison with age- and sex-matched controls. Laryngoscope 120:2478–2483

    Google Scholar 

  • Ward BK, Agrawal Y, Nguyen E, Della Santina CC, Limb CJ, Francis HW, Minor LB, Carey JP (2012) Hearing outcomes after surgical plugging of the superior semicircular canal by a middle cranial fossa approach. Otol Neurotol 33:1386–1391

    Article  PubMed  PubMed Central  Google Scholar 

  • Ward BK, Wenzel A, Ritzl EK, Gutierrez-Hernandez S, Della Santina CC, Minor LB, Carey JP (2013) Near-dehiscence: clinical findings in patients with thin bone over the superior semicircular canal. Otol Neurotol 34:1421–1428

    Google Scholar 

  • Weisert JU, Veraguth D, Probst R (2012) Bilateral deafness due to labyrinthitis in a patient with Crohn’s disease. HNO 60:132–134

    Article  PubMed  CAS  Google Scholar 

  • Whitehead RE, MacDonald CB, Melhem ER, McMahon L (1998) Spontaneous labyrinthine hemorrhage in sickle cell disease. AJNR Am J Neuroradiol 19:1437–1440

    PubMed  CAS  Google Scholar 

  • Williams MT, Ayache D (2004) Imaging of the postoperative middle ear. Eur Radiol 14:482–495

    Article  PubMed  Google Scholar 

  • Whinney D, Kitchen N, Revesz T, Brookes G (2001) Primary malignant melanoma of the cerebellopontine angle. Otol Neurotol 22:218–222

    Article  PubMed  CAS  Google Scholar 

  • Xu HX, Joglekar SS, Paparella MM (2009) Labyrinthitis ossificans. Otol Neurotol 30:579–580

    Article  PubMed  Google Scholar 

  • Yoshida T, Sugiura M, Naganawa S, Teranishi M, Nakata S, Nakashima T (2008) Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging findings and prognosis in sudden sensorineural hearing loss. Laryngoscope 118:1433–1437

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, AZ Sint Jan Hospital, Ruddershove 10, 8000, Brugge, Belgium

    Christoph Kenis & Jan Walther Casselman

  2. Department of Radiology, GZA Sint Augustinus Hospital, Oosterveldlaan 24, 2610, Wilrijk, Belgium

    Bert De Foer & Jan Walther Casselman

  3. Department of Radiology, University of Ghent, Gent, Belgium

    Jan Walther Casselman

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  1. Christoph Kenis
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  2. Bert De Foer
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  3. Jan Walther Casselman
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Correspondence to Christoph Kenis .

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Editors and Affiliations

  1. Algemeen Ziekenhuis Sint-Lucas Dept. Radiology, Gent, Belgium

    Marc Lemmerling

  2. St.-Agustinus Ziekenhuis Dept. Radiology, Wilrijk, Belgium

    Bert De Foer

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Kenis, C., De Foer, B., Casselman, J.W. (2014). Inner Ear Pathology. In: Lemmerling, M., De Foer, B. (eds) Temporal Bone Imaging. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2014_1037

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