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Magnetic resonance imaging for Ménière's disease: correlation with tone burst electrocochleography

Published online by Cambridge University Press:  09 December 2011

J Hornibrook ,
M Coates ,
A Goh ,
J Gourley  and
P Bird
J Hornibrook*
Affiliation:
Department of Otolaryngology and Audiology, Christchurch Hospital, New Zealand
M Coates
Affiliation:
Department of Radiology, Christchurch Hospital, New Zealand
A Goh
Affiliation:
Department of Radiology, Christchurch Hospital, New Zealand
J Gourley
Affiliation:
Department of Otolaryngology and Audiology, Christchurch Hospital, New Zealand
P Bird
Affiliation:
Department of Otolaryngology and Audiology, Christchurch Hospital, New Zealand
*
Address for correspondence: Mr J Hornibrook, Department of Otolaryngology and Audiology, Christchurch Hospital, 2 Riccarton Avenue, Christchurch 8011, New Zealand Fax: 643 3640273 E-mail: jeremy@jhornibrook.com
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Abstract

The newly developed use of magnetic resonance imaging of the human inner ear, on a 3 Tesla scanner with intratympanically administered gadolinium, can now reliably distinguish perilymph from endolymph and visually confirm the presence or absence of endolymphatic hydrops. Transtympanic tone burst electrocochleography is an established, and under-utilised evoked response electrophysiological test for hydrops, but it relies on a symptom score to indicate the likelihood of hydrops being present. The current diagnostic criteria for Ménière's disease make no allowance for any in vivo test, making diagnostic errors likely. In this small pilot study of three patients undergoing tone burst electrocochleography, subsequent magnetic resonance imaging confirmed or excluded the hydrops that the electrocochleography predicted. Magnetic resonance imaging of the inner ear is a safe technique that can be performed in conjunction with imaging of the VIIIth cranial nerves. As this report comprised only three patients in a pilot study, rigorous clinical studies are required to define the possible role of magnetic resonance imaging in the diagnosis of Ménière's disease.

Keywords

Meniere's DiseaseMagnetic Resonance ImagingEar, InnerPathologySensorineural Hearing LossAudiometry, Evoked Response
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 136 - 141
Copyright
Copyright © JLO (1984) Limited 2011

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Footnotes

Presented as a poster at the 5th International Symposium on Meniere's Disease and Other Inner Ear Disorders, 15 November 2010, Kyoto, Japan

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