Volume ratio and distribution rate in patients with orthostatic vertigo/dizziness using MR imaging : a comparison with vertiginous diseases

BACKGROUND: Orthostatic dizziness/vertigo (ODV) is characterized by lightheadedness owing to postural changes.

AIMS/OBJECTIVES: To measure the endolymphatic space (ELS)/total fluid space (TFS) volume ratio and the distribution rate of endolymphatic fluid (ELF) of patients with ODV and compare them with those of control subjects (CS).

MATERIALS AND METHODS: This study included 22 patients (44 ears) with ODV and 52 controls (104 ears, CS). The ELS/TFS volume ratio (%) and distribution rate (%) of the inner ear components were measured using 3-dimensional magnetic resonance imaging.

RESULTS: In the ODV group, the mean ELS/TFS volume ratios of the cochlea, vestibule, and semi-circular canals (SCCs) were 12.1%, 18.6%, and 18.1%, respectively; the mean ELS distribution rates for the cochlea, vestibule, and SCCs were 27.3%, 26.2%, and 46.6%, respectively. The ELS distribution rate of the vestibule was significantly lower (p < .01) and the ELS distribution rate of the SCCs was significantly higher in the ODV than in the CS group (p < .01).

CONCLUSIONS AND SIGNIFICANCE: The ELS distribution rate in the vestibule + SCCs among patients with ODV did not differ from that in the CS; ELF in the vestibule moved to the SCCs, and a large amount of ELF was distributed only in the SCCs.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:143

Enthalten in:

Acta oto-laryngologica - 143(2023), 8 vom: 04. Aug., Seite 631-635

Sprache:

Englisch

Beteiligte Personen:

Inui, Hiroshi [VerfasserIn]
Sakamoto, Tsuyoshi [VerfasserIn]
Ueda, Keita [VerfasserIn]
Ito, Taeko [VerfasserIn]
Kitahara, Tadashi [VerfasserIn]

Links:

Volltext

Themen:

Benign paroxysmal positional vertigo
Distribution rate
Endolymphatic flow
Endolymphatic space
Inner ear MRI
Journal Article
Meniere’s disease
Orthostatic dizziness/vertigo
Utriculo-endolymphatic valve
Volumetric measurement

Anmerkungen:

Date Completed 20.09.2023

Date Revised 20.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/00016489.2023.2238760

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360376487