Gadolinium angiography of inner ear in patients with sudden deafness and its clinical analysis.
10.3760/cma.j.cn115330-20200918-00754
- Author:
Yong Ping HAN
1
;
Jun Yi ZHANG
2
;
Lei LIU
3
;
Cai Feng LIANG
1
;
Guo Hua MIAO
1
;
Zheng Bang XU
1
;
Lei WU
1
;
Xue Qin DU
1
;
Wen Jie FAN
1
;
Ying XING
4
;
Li Sheng YU
5
Author Information
1. Department of Otorhinolaryngology, People's Hospital of Ordos Dongsheng District, Ordos 017000, China.
2. Department of Neurology, People's Hospital of Ordos Dongsheng District, Ordos 017000, China.
3. MRI Center, People's Hospital of Ordos Dongsheng District, Ordos 017000, China.
4. Office of Medical Administration, People's Hospital of Ordos Dongsheng District, Ordos 017000, China.
5. Department of Otorhinolaryngology Head and neck surgery, People's Hospital of Peking University, Beijing 100044, China.
- Publication Type:Journal Article
- MeSH:
Angiography;
Deafness;
Female;
Gadolinium;
Hearing Loss, Sudden/diagnostic imaging*;
Humans;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Vestibule, Labyrinth
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(7):746-750
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the gadolinium imaging findings of inner ear in patients with sudden deafness and to analyze its clinical features. Methods: From November 2017 to July 2020, 21 patients with sudden deafness in the People's Hospital of Dongsheng District, Ordos City were selected as the research objects, including 14 males and 7 females, aged 36-76 years, with a median age of 50 years. The course of disease was 1-19 days, with an average of 5.5 days. The patients received audiology tests, laboratory examination, and intravenous gadolinium angiography, each of whom was scanned twice by 3D-FLAIR sequence: once before intravenous gadolinium injection, and once again 4.5-6.0 h after intravenous gadolinium injection. The following corresponding clinical treatment was given. The imaging manifestations and clinical features were observed. Results: Among 21 cases of sudden deafness in acute stage, the signal intensity of 11 cases was significantly higher than that of the contralateral ear, and 2 cases had vestibular labyrinthine hydrops. In laboratory examination, only 2 cases of total deafness had increased WBC count and faster erythrocyte sedimentation rate, and the rest had no abnormality. The hearing types of 21 patients with sudden deafness were: total deafness in 8 cases, flat decline in 10 cases, low frequency decline in 1 case, high frequency decline in 2 cases. The total effective rate was 57% (12/21). The hearing types of 11 patients with abnormal gadolinium angiography were total deafness in 5 cases, flat decline in 5 cases and high frequency decline in 1 case. The total effective rate was 64% (7/11). Conclusion: Gadolinium angiography is abnormal in some patients with sudden deafness, and the permeability of blood labyrinth barrier may be increased, which is worthy of further study.
