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Benign recurrent vestibulopathy: MRI and vestibular tests results in a series of 128 cases

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Benign recurrent vestibulopathy is a recent entity, close to probable Meniere’s disease and vestibular-migraine. So far, no study has systematically investigated the presence of endolymphatic hydrops of the lateral semicircular canal in benign recurrent vestibulopathy using magnetic resonance imaging. The aim of this study was to determine magnetic resonance imaging data and vestibular test results in patients with benign recurrent vestibulopathy.

Methods

128 patients with benign recurrent vestibulopathy included since 2010 were retrospectively analyzed. Patients had magnetic resonance imaging with a delayed acquisition, audiogram, head shaking test, caloric-test, skull-vibration-induced-nystagmus-test, video-head- impulse-test, and vestibular evoked myogenic potential. Endolymphatic hydrops presence was classified into four categories: cochlear, saccular, lateral semicircular canal and association with saccule.

Results

In benign reccurent vestibulopathy, 23% of cases showed an endolymphatic hydrops on magnetic resonance imaging, more frequently located in the lateral semicircular canal (59%) and related to the disease duration. The most often impaired tests were caloric-test (49%) with fluctuations of hypofunction in 67% and skull-vibration-induced-nystagmus-test (61%). No correlation between the caloric-test and the presence and location of the endolymphatic hydrops was observed.

Conclusion

In our series of benign reccurent vestibulopathy, a rare endolymphatic hydrops was most often observed for the lateral semicircular canal and correlated with the seniority of the pathology. Hydrops identified at the magnetic resonance imaging was not correlated with the caloric-test results. Skull-vibration-induced-nystagmus-test and caloric-test were the most often modified vestibular tests.

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Acknowledgments

The authors thank Mr Laurent Dumas from the pole of Pharmacology and Therapeutics (FATH), Experimental and Clinical Research Institute (IREC), University Catholique of Louvain, Brussels, Belgium, for his contribution.

Funding

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

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Authors and Affiliations

  1. Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital, Grenoble Alpes, CS 10217, 38043, Grenoble cedex 9, France

    Claire Ducroz, Georges Dumas, Raphaële Quatre, Christol Fabre & Sébastien Schmerber

  2. EA 3450 DevAH, Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France

    Georges Dumas

  3. CNRS LPNC, UMR 5105, University of Grenoble Alpes, Grenoble, France

    Arnaud Attyé

  4. INSERM BrainTec Lab UMR 1205, University Grenoble Alpes, Grenoble, France

    Sébastien Schmerber

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  1. Claire Ducroz
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  2. Georges Dumas
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  3. Raphaële Quatre
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  4. Arnaud Attyé
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  5. Christol Fabre
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  6. Sébastien Schmerber
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Correspondence to Claire Ducroz.

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Ducroz, C., Dumas, G., Quatre, R. et al. Benign recurrent vestibulopathy: MRI and vestibular tests results in a series of 128 cases. Eur Arch Otorhinolaryngol 279, 169–173 (2022). https://doi.org/10.1007/s00405-021-06637-4

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  • DOI: https://doi.org/10.1007/s00405-021-06637-4

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