Imaging features of bilateral vestibular neuritis

Duško Kozić; Slobodanka Lemajić-Komazec; Mladen Bjelan; Jasmina Boban; Slavica Sotirović-Seničar; Dejan Kostić

doi:10.2298/VSP170424089K

Duško Kozić University of Novi Sad, Faculty of Medicine, Novi Sad & Oncology Institute of Vojvodina, Diagnostic Imaging Centre, Sremska Kamenica, Novi Sad, Serbia
Slobodanka Lemajić-Komazec University of Novi Sad, Faculty of Medicine, Novi Sad & Clinical Center of Vojvodina, Clinic of otorhinolaryngology, Novi Sad, Serbia
Mladen Bjelan University of Novi Sad, Faculty of Medicine, Novi Sad & Oncology Institute of Vojvodina, Diagnostic Imaging Centre, Sremska Kamenica, Novi Sad, Serbia
Jasmina Boban University of Novi Sad, Faculty of Medicine, Novi Sad & Oncology Institute of Vojvodina, Diagnostic Imaging Centre, Sremska Kamenica, Novi Sad, Serbia
Slavica Sotirović-Seničar Clinical Center of Vojvodina, Center of Radiology, Novi Sad, Serbia
Dejan Kostić Military Medical Academy, Institute of Radiology & University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP170424089K

Ključne reči: n. vestibulocochlearis, bolesti, neuritis, vestibulopatija, bilateralna, dijagnoza, magnetna rezonanca, snimanje

Sažetak

Apstrakt

Uvod. Smatra se da magnetno-rezonantni imidžing (MRI) nije dovoljno osetljiva dijagnostička metoda za detekciju poremećaja kod bolesnika sa kliničkom slikom vestibularnog neuritisa. Prikaz bolesnika. Tridesetdvogodišnji muškarac je primljen u bolnicu sa kliničkom slikom akutnog vestibularnog neuritisa. Na snimcima konvencionalnog MRI pregleda, uključujući i postkontrastne snimke debljine 3 mm, nisu uočene patološke promene. Na postkontrastnim snimcima visoke rezolucije, debljine preseka 1 mm, uočeno je postkontrastno pojačanje intenziteta signala vestibularne grane oba vestibulokohlearna nerva, što je nalaz karakterističan za inflamaciju. Zaključak. Za evaluaciju bolesnika sa znacima vestibularnog neuritisa, a u cilju povećanja senzitivnosti MRI pregleda, neophodno je koristiti snimke visoke rezolucije, debljine preseka 1 mm ili submilimetarske preseke.

Reference

REFERENCES

Silvoniemi P. Vestibular neuronitis. An otoneurological evalua-tion. Acta Otolaryngol Suppl 1988; 453: 1–72.

Murofushi T, Monobe H, Ochiai A, Ozeki H. The site of lesion in “vestibular neuritis”: Study by galvanic VEMP. Neurology 2003; 61(3): 417–8.

Strupp M, Jäger L, Müller-Lisse U, Arbusow V, Reiser M, Brandt T. High resolution Gd-DTPA MR imaging of the inner ear in 60 patients with idiopathicvestibular neuritis: no evidence for contrast enhancement of the labyrinth orvestibular nerve. J Vestib Res 1998; 8(6): 427–33.

Hasuike K, Sekitani T, Imate Y. Enhanced MRI in patients with vestibular neuronitis. Acta Otolaryngol Suppl (Stockh) 1995; 519: 272–4.

Karlberg M, Annertz M, Magnusson M. Acute vestibular neuritis visualized by 3-T magnetic resonance imaging with high-dose gadolinium. Arch Otolaryngol Head Neck Surg 2004; 130(2): 229–32.

Fundakowski CE, Anderson J, Angeli S. Cross-sectional ves-tibular nerve analysis in vestibular neuritis. Ann Otol Rhinol Laryngol 2012; 121(7): 466–70.

Taylor RL, McGarvie LA, Reid N, Young AS, Halmagyi MG, Welgampola MS. Vestibular neuritis affects both superior and inferior vestibular nerves. Neurology 2016; 87(16): 1704–12.

McCabe BF. Autoimmune sensorineural hearing loss. Ann Otol Rhinol Laryngol 1979; 88(5 Pt 1): 585–9

Harris JP, Ryan AF. Fundamental immune mechanisms of the brain and inner ear. Otolaryngol Head Neck Surg 1995; 112(6): 639–53.

Arbusow V, Strupp M, Dieterich M, Stöcker W, Naumann A, Schulz P, et al. Serum antibodies against membranous labyrinth in patients with “idiopathic”bilateral vestibulopathy. J Neurol 1998; 245(3): 132–6.

Schüler O, Strupp M, Arbusow V, Brandt T, Soragna D, Papi L, et al. A case of possible autoimmune bilateral vestibulopathy treated with steroids. J Neurol Neurosurg Psychiatr 2003; 74(6): 825.

Radiološke karakteristike bilateralnog vestibularnog neuritisa

Sažetak

Reference