Role of MRI in Diagnosis of Meniere’s Disease

Document Type : Original Article

Author

The Departments of Audiology* and Radiodiagnosis**, Faculties of Medicine, Cairo* and Banha** Universities

Abstract

Background: The clinical triad of low-frequency fluctuat-ing sensorineural hearing loss, vertigo episodes for at least 20 minutes, auditory fullness & tinnitus describe Meniere’s dis-ease. The clinical diagnosis of Meniere’s disease (MD) can be supplemented with a variety of test battery including vestibu-lar, audiological, and electrophysiological assessments. Aim of Study: Was to correlate the results of MRI and cVEMP in diagnosing MD. Patients and Methods: This is a cross sectional case study who was conducted on 20 adult patients diagnosed with Meniere based on the criteria decided by the European Acad-emy of Otology and Neurotology subjected to Pure tone audi-ometry, cervical vestibular myogenic potential (cVEMP) and Magnetic resonance imaging (MRI). Results: The affected ear significantly showed a delay in latency of P13 & N23 in cVEMP and a decrease in the ampli-tude of N1-P1 compared to the healthy ears. As regard MRI: The sensitivity and specificity of the SURI were 30% and 100% respectively in our results. Conclusions: In patients with MD, cVEMP is a trustwor-thy, objective technique for assessing sacular dysfunction. According to saccular morphology, it indicates the degree of cochlear and vestibular hydrops. However, MRI is a reliable, impartial method for verifying the diagnosis of Meniere’s illness.

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