Skip to main content
SpringerLink
Log in

Feasibility of three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging as a prognostic factor in patients with sudden hearing loss

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

Abstract

The aim of this study was to confirm the feasibility of high signal on three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging (3D FLAIR MRI) as one of the prognostic factors in recovery of sudden idiopathic hearing loss. A retrospective study was conducted using patients who were diagnosed with unilateral sudden idiopathic hearing loss from January 2008 to December 2010. A total of 120 patients were enrolled in for this study. High-intensity signal in the inner ear on precontrast 3D FLAIR MRI was observed in 31 patients (25.8%; FHS) and labyrinthine enhancement was not observed in another 89 patients (FNS; 74.2%). There was no significant difference in patients’ characteristics between two groups except final hearing. Final puretone average of the FHS group was 49.4 dB, significantly worse than FNS group’s 36.7 dB (p = 0.037 < 0.05). Final hearing was related to initial hearing, accompanying dizziness, and abnormal auditory brainstem response result by multiple regression analysis. However, presence of high-intensity signal on precontrast 3D FLAIR MRI did not affect final hearing significantly. Significant difference due to the presence of dizziness in final hearing was observed in whole patients and in the FHS group, whereas no significant difference in final hearing was observed in FNS group. (p = 0.063 > 0.05). From these findings, the presence of high-intensity signal on 3D FLAIR MRI is a subfactor related to dizziness rather than a single poor prognostic factor and the absence of high-intensity signal on 3D FLAIR MRI can possibly imply relative good prognosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Hughes GB, Freedman MA, Haberkamp TJ, Guay ME (1996) Sudden sensorineural hearing loss. Otolaryngol Clin North Am 29:393–403

    PubMed  CAS  Google Scholar 

  2. Byl FM Jr (1984) Sudden hearing loss: eight years’ experience and suggested prognostic table. Laryngoscope 94:647–661

    Article  PubMed  Google Scholar 

  3. Jang CH, Kim YH (2004) Sudden hearing loss in intralabyrinthine haemorrhage in a child. J Laryngol Otol 118:450–452

    PubMed  Google Scholar 

  4. Xenellis J, Karapatsas I, Papadimitriou N, Nikolopoulos T, Maragoudakis P, Tzagkaroulakis M et al (2006) Idiopthic sudden sensorineural hearing loss: prognostic factors. J Laryngol Otol 120:718–724

    Article  PubMed  CAS  Google Scholar 

  5. Cvorović L, Deric D, Probst R, Hegemann S (2008) Prognostic model for predicting hearing recovery in idiopathic sudden sensorineural hearing loss. Otol Neurotol 29:464–469

    Article  PubMed  Google Scholar 

  6. Cadoni G, Agostino S, Scipione S, Ippolito S, Caselli A, Marchese R et al (2005) Sudden sensorineural hearing loss: our experience in diagnosis, treatment, and out come. J Otolaryngol 34:395–401

    Article  PubMed  Google Scholar 

  7. 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 

  8. Siegel LG (1976) The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 8:467–473

    Google Scholar 

  9. Nakata S, Mizuno T, Naganawa S, Sugiura M, Yoshida T, Teranishi M, Sone M, Nakashima T (2010) 3D-FLAIR MRI in facial nerve paralysis with and without audio-vestibular disorder. Acta Otolaryngol 130:632–636

    Article  PubMed  Google Scholar 

  10. Sugiura M, Naganawa S, Teranishi M, Nakashima T (2006) Three-dimensional fluid attenuated inversion recovery magnetic resonance imaging findings in patients with sudden sensorineural hearing loss. Laryngoscope 116:1451–1454

    Article  PubMed  Google Scholar 

  11. Naganawa S, Komada T, Fukatsu H, Ishigaki T, Takizawa O (2006) Observation of contrast enhancement in the cochlear fluid space of healthy subjects using a 3D-FLAIR sequence at 3 Tesla. Eur Radiol 16:733–737

    Article  PubMed  Google Scholar 

  12. Nosrati-Zarenoe R, Arlinger S, Hultcrantz E (2007) Idiopathic sudden sensorineural hearing loss: results drawn from the Swedish national database. Acta Otolaryngol 127:1168–1175

    Article  PubMed  Google Scholar 

  13. Lee NH, Ban JH (2010) Is BPPV a prognostic factor in idiopathic sudden sensory hearing loss? Clin Exp Otorhinolaryngol 3:199–202

    Article  PubMed  Google Scholar 

  14. Mattox DE, Lyles CA (1989) Idiopathic sudden sensorineural hearing loss. Am J Otol 10:242–247

    PubMed  CAS  Google Scholar 

  15. Mamak A, Yilmaz S, Cansiz H, Inci E, Güçlü E, Dereköylü L (2005) A study of prognostic factors in sudden hearing loss. Ear Nose Throat J 84:641–644

    PubMed  Google Scholar 

  16. Mosnier I, Stepanian A, Baron G, Bodenez C, Robier A, Meyer B et al (2011) Cardiovascular and thromboembolic risk factors in idiopathic sudden sensorineural hearing loss: a case-control study. Audiol Neurootol 16:55–66

    Article  PubMed  Google Scholar 

  17. Ziegler EA, Hohlweg-Majert B, Maurer J, Mann WJ (2003) Epidemiological data of patients with sudden hearing loss—a retrospective study over a period of three years. Laryngorhinootologie 82:4–8

    Article  PubMed  CAS  Google Scholar 

  18. Son EJ, Bang JH, Kang JG (2007) Anterior inferior cerebellar artery infarction presenting with sudden hearing loss and vertigo. Laryngoscope 117:556–558

    Article  PubMed  Google Scholar 

  19. Hikita-Watanabe N, Kitahara T, Horii A, Kawashima T, Doi K, Okumura S (2010) Tinnitus as a prognostic factor of sudden deafness. Acta Otolaryngol 130:79–83

    Article  PubMed  Google Scholar 

  20. Danino J, Joachims HZ, Eliachar I, Podoshin L, Ben-David Y, Fradis M (1984) Tinnitus as a prognostic factor in sudden deafness. Am J Otolaryngol 5:394–396

    Article  PubMed  CAS  Google Scholar 

  21. Iwasaki S, Takai Y, Ozeki H, Ito K, Karino S, Murofushi T (2005) Extent of lesions in idiopathic sudden hearing loss with vertigo: study using click and galvanic vestibular evoked myogenic potentials. Arch Otolaryngol Head Neck Surg 131:857–862

    Article  PubMed  Google Scholar 

  22. Hong SM, Byun JY, Park CH, Lee JH, Park MS, Cha CI (2008) Saccular damage in patients with idiopathic sudden sensorineural hearing loss without vertigo. Otolaryngol Head Neck Surg 139:541–545

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

No financial support in any form have been received or will be received from a commercial party related directly or indirectly to the completion of the work.

Author information

Authors and Affiliations

  1. Department of Otolaryngology, School of Medicine, College of Medicine, KyungHee University, #149 Sangil-dong, Gangdong-gu, Seoul, 134-727, Korea

    Ho Yun Lee, Su Young Jung, Moon Suh Park, Seung Geun Yeo, So Yoon Lee & Sun Kyu Lee

Authors
  1. Ho Yun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Su Young Jung
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Moon Suh Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Seung Geun Yeo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. So Yoon Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sun Kyu Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Moon Suh Park.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, H.Y., Jung, S.Y., Park, M.S. et al. 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 (2012). https://doi.org/10.1007/s00405-011-1834-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-011-1834-1

Keywords

Search

Navigation