Herniation of the Membranous Labyrinth into the Horizontal Semicircular Canal is Correlated with Impaired Caloric Response in Ménière's Disease

Overview

Journal Otol Neurotol

Specialties Neurology
Otorhinolaryngology

Date 2012 Aug 25

PMID 22918115

Citations 24

Authors

Robert Gurkov

Wilhelm Flatz

Julia Louza

Michael Strupp

Birgit Ertl-Wagner

Eike Krause

Affiliations

Soon will be listed here.

Abstract

Introduction: Canal paresis of the horizontal semicircular canal in Ménière's disease is a frequent finding. Endolymphatic hydrops is the single most characteristic morphologic finding in Ménière's disease. However, the relationship between endolymphatic hydrops and canal paresis is still not elucidated.

Methods: We used magnetic resonance imaging to visualize herniation of parts of the vestibular membranous labyrinth into the horizontal semicircular canal and correlated this morphologic feature with the caloric function of the horizontal semicircular canal.

Results: Patients who showed herniation into the horizontal canal had a significantly impaired caloric function when compared with patients without this morphologic feature.

Conclusion: Herniation into the semicircular canal may be the morphologic correlate for impaired caloric response in patients with Ménière's disease.

Citing Articles

Is endolymphatic hydrops, as detected in MRI, a truly cochleocentric finding?.

Alvarez De Linera-Alperi M, Dominguez P, Blanco-Pareja M, Menendez Fernandez-Miranda P, Manrique-Huarte R, Liano G Front Neurol. 2024; 15:1477282.

PMID: 39687399 PMC: 11646843. DOI: 10.3389/fneur.2024.1477282.

The Caloric Test Is More Consistent With the Presence of Endolymphatic Hydrops Than the Vestibular-Evoked Myogenic Potential Test in Meniere's Disease.

Tanaka T, Ushio M, Terada H, Takanami T, Kan S, Masuda H Cureus. 2024; 15(12):e51384.

PMID: 38292947 PMC: 10825888. DOI: 10.7759/cureus.51384.

Low-Frequency Air-Bone Gap and Pulsatile Tinnitus Due to a Dural Arteriovenous Fistula: Considerations upon Possible Pathomechanisms and Literature Review.

Tozzi A, Castellucci A, Ferrulli G, Martellucci S, Malara P, Brandolini C Audiol Res. 2023; 13(6):833-844.

PMID: 37987331 PMC: 10660785. DOI: 10.3390/audiolres13060073.

Comparison between audio-vestibular findings and contrast-enhanced MRI of inner ear in patients with unilateral Ménière's disease.

Leng Y, Fan W, Liu Y, Xia K, Zhou R, Liu J Front Neurosci. 2023; 17:1128942.

PMID: 36992853 PMC: 10040662. DOI: 10.3389/fnins.2023.1128942.

Otolith Membrane Herniation, not Semicircular Canal Duct Dilation, Is Associated with Decreased Caloric Responses in Ménière's Disease.

Shen L, Andresen N, Chari D, Pogson J, Lauer A, Rabbitt R J Assoc Res Otolaryngol. 2022; 24(1):95-106.

PMID: 36539657 PMC: 9971415. DOI: 10.1007/s10162-022-00883-x.