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Article

Hydropic Ear Disease—Translation of Imaging into Clinical Practice: Clinical Image Case

by
Robert Gürkov
1,*,
Roger Kalla
2,
Rebecca Maxwell
3 and
Maximilian Patzig
3
1
Department of Otorhinolaryngology, University of Munich, Marchioninistr. 15, 81377 Munich, Germany
2
Department of Neurology, Inselspital, 3010 Bern, Switzerland
3
Department of Otorhinolaryngology and German Vertigo Gentre, University of Munich, 80539 Munich, Germany
*
Author to whom correspondence should be addressed.
Clin. Transl. Neurosci. 2018, 2(1), 6; https://doi.org/10.1177/2514183x18758588
Submission received: 7 September 2017 / Accepted: 22 January 2018 / Published: 1 March 2018

Abstract

A 45-year-old man presented to the neurotology clinic, suffering from recurrent attacks of vertigo associated with falls, of unknown origin. Pure tone audiometry revealed a profound right-sided and mild left-sided pantonal sensorineural hearing loss. Caloric videonystagmography showed marked canal paresis on the right side. Video-head impulse test, however, showed bilaterally normal gain. Cranial magnetic resonance imaging (MRI) was normal. No neurovascular compression was noted. We performed locally enhanced inner ear MRI (LEIM). LEIM revealed a marked dilation of the endolymphatic space of the right inner ear, that is, endolymphatic hydrops. In light of the history, clinical, functional and imaging results, therefore, the diagnosis of hydropic ear disease (Menière’s disease) with vestibular drop attacks could be established. This clinical image case illustrates the usefulness of inner ear imaging for the differential diagnosis of vertigo disorders, such as hydropic ear disease (Menière’s disease).
Keywords: hydropic ear disease; Menière’s disease; inner ear; MRI; vertigo; endolymphatic hydrops; intratympanic injection; dizziness hydropic ear disease; Menière’s disease; inner ear; MRI; vertigo; endolymphatic hydrops; intratympanic injection; dizziness

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MDPI and ACS Style

Gürkov, R.; Kalla, R.; Maxwell, R.; Patzig, M. Hydropic Ear Disease—Translation of Imaging into Clinical Practice: Clinical Image Case. Clin. Transl. Neurosci. 2018, 2, 6. https://doi.org/10.1177/2514183x18758588

AMA Style

Gürkov R, Kalla R, Maxwell R, Patzig M. Hydropic Ear Disease—Translation of Imaging into Clinical Practice: Clinical Image Case. Clinical and Translational Neuroscience. 2018; 2(1):6. https://doi.org/10.1177/2514183x18758588

Chicago/Turabian Style

Gürkov, Robert, Roger Kalla, Rebecca Maxwell, and Maximilian Patzig. 2018. "Hydropic Ear Disease—Translation of Imaging into Clinical Practice: Clinical Image Case" Clinical and Translational Neuroscience 2, no. 1: 6. https://doi.org/10.1177/2514183x18758588

APA Style

Gürkov, R., Kalla, R., Maxwell, R., & Patzig, M. (2018). Hydropic Ear Disease—Translation of Imaging into Clinical Practice: Clinical Image Case. Clinical and Translational Neuroscience, 2(1), 6. https://doi.org/10.1177/2514183x18758588

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