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The relationship between cochleovestibular function tests and endolymphatic hydrops grading on MRI in patients with Menière’s disease

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

Abstract

Purpose

In this retrospective study the relationship between cochleovestibular function and a magnetic resonance imaging (MRI-) based classification system of endolymphatic hydrops was investigated.

Methods

Seventy-eight patients with unilateral definite Menière’s disease who underwent MRI were included. The parameters of Pure Tone Audiometry (PTA), caloric irrigation test, cervical vestibular evoked myogenic potentials, and video Head Impulse Test were compared between the grades of endolymphatic hydrops (EH) and perilymphatic enhancement (PE) on MRI.

Results

The low-frequency PTA was significantly different between cochlear EH grades I and II (p = 0.036; Grade I: mean (Standard Deviation, SD) = 51 decibel Hearing Level (dB HL) (18 dB HL); Grade II: mean (SD) = 60 dB HL (16 dB HL)), and vestibular EH grades 0 and III (p = 0.018; Grade 0: mean (SD) = 43 dB HL (21 dB HL); Grade III: mean = 60 dB HL (10 dB HL)). The ipsilateral caloric sum of ears with vestibular EH grade I (n = 6) was increased with regards to vestibular EH grades 0 (p = 0.001), II (p < 0.001), and III (p < 0.001) (Grade 0: mean (SD) = 24°/s (15°/s); Grade I: mean (SD) = 47°/s (11°/s); Grade II: mean (SD) = 21°/s (13°/s); Grade III: mean (SD) = 16°/s (8°/s)).

Conclusion

According to these results we can conclude that only the highest grades of cochlear and vestibular EH seem to be associated with decreased cochleovestibular functioning

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Fig. 1

adapted from the original publication Bernaerts A, Vanspauwen R, Blaivie C, et al. © The Authors 2019, Neuroradiology 61: 421 (https://doi.org/10.1007/s00234-019-02155-7) distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)

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Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. European Institute for ORL-HNS, Sint-Augustinus, GZA Hospital, Antwerp, Belgium

    Morgana Sluydts, Cathérine Blaivie, Andrzej Zarowski, Joost JS van Dinther, Erwin Offeciers, Floris L Wuyts & Robby Vanspauwen

  2. Lab for Equilibrium Investigations and Aerospace, University of Antwerp, Antwerp, Belgium

    Morgana Sluydts, Floris L Wuyts & Robby Vanspauwen

  3. Department of Radiology, GZA Hospitals Antwerp, Wilrijk, Belgium

    Anja Bernaerts, Jan W Casselman & Bert De Foer

  4. Department of Radiology, AZ St. Jan Brugge-Oostende AV, Ruddershove 10, 8000, Brugge, Belgium

    Jan W Casselman

Authors
  1. Morgana Sluydts
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  2. Anja Bernaerts
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  3. Jan W Casselman
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  4. Bert De Foer
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  5. Cathérine Blaivie
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  6. Andrzej Zarowski
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  7. Joost JS van Dinther
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  8. Erwin Offeciers
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  9. Floris L Wuyts
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  10. Robby Vanspauwen
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Sluydts Morgana, Bernaerts Anja, Casselman Jan, De Foer Bert, Blaivie Cathérine, Zarowski Andrzej, van Dinther Joost, Offeciers Erwin, Wuyts Floris L, Vanspauwen Robby. The first draft of the manuscript was written by Morgana Sluydts and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Morgana Sluydts.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethics approval

This study was conducted according to the principles of the Declaration of Helsinki and institutional ethical approval was obtained (GasthuisZusters Antwerpen study number: 161205RETRO).

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Sluydts, M., Bernaerts, A., Casselman, J.W. et al. The relationship between cochleovestibular function tests and endolymphatic hydrops grading on MRI in patients with Menière’s disease. Eur Arch Otorhinolaryngol 278, 4783–4793 (2021). https://doi.org/10.1007/s00405-021-06610-1

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  • DOI: https://doi.org/10.1007/s00405-021-06610-1

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