Imaging of Ménière Disease

Neuroimaging Clin N Am. 2019 Feb;29(1):19-28. doi: 10.1016/j.nic.2018.09.002.

Abstract

Visualization of the morphologic substrate of Ménière disease, the endolymphatic hydrops, can be performed using noncontrast or contrast-enhanced MR imaging techniques. Noncontrast MR imaging uses a heavily T2-weighted sequence; however, its reproducibility remains to be confirmed. Contrast-enhanced MR imaging techniques mainly use a 3-dimensional fluid-attenuated inversion recovery sequence after intratympanic gadolinium administration or after a 4-hour delayed intravenous gadolinium administration. The latter technique is most frequently used and is able to detect and grade Ménière disease. It is a reliable technique with a high diagnostic accuracy, enabling visualization of endolymphatic hydrops.

Keywords: Classification; Diagnosis; Endolymphatic hydrops; MR imaging; Ménière disease; Temporal bone disease.

Publication types

  • Review

MeSH terms

  • Contrast Media
  • Ear, Inner / diagnostic imaging*
  • Humans
  • Image Enhancement
  • Imaging, Three-Dimensional
  • Magnetic Resonance Imaging / methods*
  • Meniere Disease / diagnostic imaging*

Substances

  • Contrast Media