关键词: Cerebellopontine angle Hearing loss Magnetic resonance imaging Neuroimaging Sensorineural

来  源:   DOI:10.1007/s12070-024-04548-4   PDF(Pubmed)

Abstract:
UNASSIGNED: Our aim was to determine prevalence and type of neuro-radiological lesions detected on screening Magnetic Resonance Imaging (MRI) of brain in patients presenting with progressive sensorineural hearing loss in otorhinolaryngology clinic.
UNASSIGNED: This retrospective study included 96 screening magnetic resonance imaging MRI brain scans of patients who presented with progressive sensorineural hearing loss in department of otorhinolaryngology. The clinical and radiological data was collected and analysed.
UNASSIGNED: Out of 96 screening MRI brain, 19 (19.8%) had positive findings. The commonest imaging finding was presence of vascular loop around facial and vestibulocochlear nerve root complex in 9 cases (9.4%) followed by presence of a cerebellopontine angle lesions in 5 cases (5.2%). The mean age of all patients was 48.5 years and those with positive screening MRI was 40.6 years. A gender gap was noticed with female being 22 (22.9%) in number against 74 (77.1%) males.
UNASSIGNED: This is the first retrospective study to determine prevalence and type of neuro-radiological lesions detected on screening magnetic resonance imaging in patients with progressive sensorineural hearing loss. We recommend screening MRI brain in patients with progressive SNHL aged below 60 years and all the described neuroradiological finding provide differential diagnosis. Definition and classification of progressive sensorineural hearing loss should be formulated to standardize the management. Further multi-institutional studies are required to identify social, occupational, genetic, or other factors that can cause gender disparity in patients with progressive SNHL.
摘要:
我们的目的是确定在耳鼻咽喉科门诊出现进行性感音神经性听力损失的患者的脑部磁共振成像(MRI)筛查中检测到的神经放射学病变的患病率和类型。
这项回顾性研究包括96次筛查性磁共振成像MRI脑部扫描,这些扫描是在耳鼻咽喉科表现为进行性感觉神经性耳聋的患者。收集和分析临床和放射学数据。
在96次MRI脑部筛查中,19(19.8%)有阳性结果。最常见的影像学发现是9例(9.4%)在面部和前庭耳蜗神经根周围存在血管环,其次是5例(5.2%)存在小脑桥脑角病变。所有患者的平均年龄为48.5岁,MRI筛查阳性的患者为40.6岁。注意到性别差距,女性为22(22.9%),男性为74(77.1%)。
这是第一项回顾性研究,旨在确定进行性感觉神经性听力损失患者在筛查磁共振成像中检测到的神经放射学病变的患病率和类型。我们建议对60岁以下的进行性SNHL患者进行MRI脑部筛查,所有描述的神经放射学发现均可提供鉴别诊断。应制定进行性感音神经性耳聋的定义和分类,以规范管理。需要进一步的多机构研究,以确定社会,职业,遗传,或其他可能导致进行性SNHL患者性别差异的因素。
公众号