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The usefulness of MR imaging of the temporal bone in the evaluation of patients with facial and audiovestibular dysfunction

Abstract

To evaluate the clinical utility of MR imaging of the temporal bone in patients with facial and audiovestibular dysfunction with particular emphasis on the importance of contrast enhancement. We retrospectively reviewed the MR images of 179 patients [72 men, 107 women; average age, 44 (range, 1-77) years] who presented with peripheral facial palsy (n=15), audiometrically proven sensorineural hearing loss (n=104), vertigo (n=109), or tinnitus (n=92). Positive MR imaging findings possibly responsible for the patients' clinical manifestations were categorized according to the anatomic sites and presumed etiologies of the lesions. We also assessed the utility of contrast-enhanced MR imaging by analyzing its contribution to the demonstration of lesions which would otherwise not have been apparent. All MR images were interpreted by two neuroradiologists, who reached their conclusions by consensus. MR images demonstrated positive findings, thought to account for the presenting symptoms, in 78 (44%) of 179 patients, including 15 (100%) of 15 with peripheral facial palsy, 43 (41%) of 104 with sensorineural hearing loss, 40 (37%) of 109 with vertigo, and 39 (42%) of 92 with tinnitus. Thirty (38%) of those 78 patients had lesions that could be confidently recognized only at contrast-enhanced MR imaging. Even though its use led to  More>>
Authors:
Park, Sang Uk; Kim, Hyung Jin; Cho, Young Kuk; Lim, Myung Kwan; Kim, Won Hong; Suh, Chang Hae; Lee, Seung Chul [1] 
  1. Inha University College of Medicine, Incheon (Korea, Republic of)
Publication Date:
Jan 01, 2002
Product Type:
Journal Article
Resource Relation:
Journal Name: Korean Journal of Radiology; Journal Volume: 3; Journal Issue: 1; Other Information: 21 refs, 6 figs, 2 tabs; PBD: Jan 2002
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CONTRAST MEDIA; DIAGNOSIS; IMAGES; NMR IMAGING; PATIENTS; SKELETON
OSTI ID:
20413245
Country of Origin:
Korea, Republic of
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 1229-6929; TRN: KR0302902086894
Submitting Site:
KRN
Size:
page(s) 16-23
Announcement Date:
Dec 31, 2003

Citation Formats

Park, Sang Uk, Kim, Hyung Jin, Cho, Young Kuk, Lim, Myung Kwan, Kim, Won Hong, Suh, Chang Hae, and Lee, Seung Chul. The usefulness of MR imaging of the temporal bone in the evaluation of patients with facial and audiovestibular dysfunction. Korea, Republic of: N. p., 2002. Web.
Park, Sang Uk, Kim, Hyung Jin, Cho, Young Kuk, Lim, Myung Kwan, Kim, Won Hong, Suh, Chang Hae, & Lee, Seung Chul. The usefulness of MR imaging of the temporal bone in the evaluation of patients with facial and audiovestibular dysfunction. Korea, Republic of.
Park, Sang Uk, Kim, Hyung Jin, Cho, Young Kuk, Lim, Myung Kwan, Kim, Won Hong, Suh, Chang Hae, and Lee, Seung Chul. 2002. "The usefulness of MR imaging of the temporal bone in the evaluation of patients with facial and audiovestibular dysfunction." Korea, Republic of.
@misc{etde_20413245,
title = {The usefulness of MR imaging of the temporal bone in the evaluation of patients with facial and audiovestibular dysfunction}
author = {Park, Sang Uk, Kim, Hyung Jin, Cho, Young Kuk, Lim, Myung Kwan, Kim, Won Hong, Suh, Chang Hae, and Lee, Seung Chul}
abstractNote = {To evaluate the clinical utility of MR imaging of the temporal bone in patients with facial and audiovestibular dysfunction with particular emphasis on the importance of contrast enhancement. We retrospectively reviewed the MR images of 179 patients [72 men, 107 women; average age, 44 (range, 1-77) years] who presented with peripheral facial palsy (n=15), audiometrically proven sensorineural hearing loss (n=104), vertigo (n=109), or tinnitus (n=92). Positive MR imaging findings possibly responsible for the patients' clinical manifestations were categorized according to the anatomic sites and presumed etiologies of the lesions. We also assessed the utility of contrast-enhanced MR imaging by analyzing its contribution to the demonstration of lesions which would otherwise not have been apparent. All MR images were interpreted by two neuroradiologists, who reached their conclusions by consensus. MR images demonstrated positive findings, thought to account for the presenting symptoms, in 78 (44%) of 179 patients, including 15 (100%) of 15 with peripheral facial palsy, 43 (41%) of 104 with sensorineural hearing loss, 40 (37%) of 109 with vertigo, and 39 (42%) of 92 with tinnitus. Thirty (38%) of those 78 patients had lesions that could be confidently recognized only at contrast-enhanced MR imaging. Even though its use led to positive findings in less than half of these patients, MR imaging of the temporal bone is a useful diagnostic procedure in the evaluation of those with facial and audiovestibular dysfunction. Because it was only at contrast-enhanced MR imaging that a significant number of patients showed positive imaging findings which explained their clinical manifestations, the use of contrast material is highly recommended.}
journal = []
issue = {1}
volume = {3}
journal type = {AC}
place = {Korea, Republic of}
year = {2002}
month = {Jan}
}