This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Neurology  • Neuro-otology  • Hearing Loss/ Deafness  • Radiology of Head & Neck  • Magnetic Resonance Imaging  • Alert me on articles by topic  Social Bookmarking   What's this?

Matthew B. Zavod, MD; Robert T. Sataloff, MD, DMA; Vijay M. Rao, MD

Arch Otolaryngol Head Neck Surg. 2000;126:969-971.

Objective  To evaluate magnetic resonance imaging (MRI) scans for enhancement of inner ear structures of patients with sensorineural hearing loss and documented antibodies to the 68-kd inner ear antigen.

Study Design  Retrospective case review with reexamination of MRI scans.

Setting  Outpatient office.

Patients  Thirty-five patients with autoimmune sensorineural hearing loss defined by audiograms documenting a sensorineural hearing deficit in one or both ears and the presence of an anti–inner ear antibody (68-kd band) in serum samples who underwent precontrast and postcontrast T1-weighted axial and coronal MRI scans of the inner ear, which were performed concurrently with the hearing loss.

Interventions  Diagnostic.

Main Outcome Measures  Frequency and intensity of cochlear enhancement on MRI scans.

Results  One patient demonstrated +2 cochlear enhancement. However, that finding was thought to represent postoperative inflammatory change.

Conclusion  No correlation was found between the presence of antibodies to inner ear antigen in patients with hearing loss and cochlear enhancement on MRI scans.

From the Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, University of Vermont College of Medicine, Burlington (Dr Zavod); and the Departments of Otolaryngology–Head and Neck Surgery (Dr Sataloff) and Radiology, Division of Neuroradiology (Dr Rao), Thomas Jefferson University, Philadelphia, Pa.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Archives of Otolaryngology–Head & Neck Surgery Reader's Choice: Continuing Medical Education
Arch Otolaryngol Head Neck Surg. 2000;126(8):1043-1044.
FULL TEXT