MRI Identifies Causes of Sudden Deafness

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A new study reports on top of the abnormality found after an MRI examination of patients near sudden deafness. The essayist of "Magnetic Resonance Imaging in Sudden Deafness," are Hugo Valter
Lisboa Ramos MD, Flvia Alencar de Barros, Hlio Yamashita MD PhD, Wellington Yugo Yamaoka MD, Ana Cludia Valrio de Souza MD, and Norma de Oliveira Penido MD PhD, all from the Federal University of
So Paulo - Paulista Medical School, So Paulo, Brazil. findings are individual presented at the American Academy of Otolaryngology-Head and Neck Surgery Foundation Annual Meeting & OTO EXPO,
being held September 19-22, 2004, at the Jacob K. Javits Convention Center, New York City, NY.

Methodology: This prospective study test 49 patients, 23 manly and 26 womanly, range in age from 15 to 91 years (average 45.4 years). Thirty-four be racially white, ten were mixed-race, two black,
and three Asian. Only five of the 49 patients studied have MRI act formerly clinical nurture with prednisone and pentoxiphylline. In 23 patients, the deafness be on the vanished loin, 26 on the
perfectly side.

An audiometric test and acoustic impedance audiometry were performed on patients who complain of a sudden loss of hearing. Sudden deafness was defined as a sensorineural loss of audition greater
than or corresponding to 30 dB in at smallest three contiguous audiometric frequencies occurring inwardly three days or smaller quantity.

The patients studied experience MRI of the temporal clean and brainpower. The test was corresponding item with use of axial smite of the cranium in severe chain obtain by a Fluid Attenuation
Inversion Recovery (FLAIR) machinery with the aim of evaluate the encephalic mass. The researchers determined lateral alterations to be those restricted to the inner ear, and central alterations to
be those to be found in the internal auditory meatus or in the central insomniac system. The grades were analyzed descriptively.

Results: Of a whole of 49 patients studied, 23 (46.9 percent) presented abnormalities on MRI. Among those patients with such abnormalities, the be determined age was 55.1. Eleven (47.8 percent)
patients were male and 12 (52.2 percent) were female. There were 24 abnormalities because one patient presented two abnormalities. Two tumors describing
meningioma were found in the frozen by the sella turcica power that well-known towards hindmost fossa; three tumors with were identified with characteristics of vestibular schwannoma, two of them
intracanalicular. Another patient presented dilatation of the fourth reasonable ventricule, but the most continual abnormality was the attendance of subcortical and periventricular lesions, found
in 13 patients.

Five (21.7 percent) patients presented peripheral abnormalities, and all were on alike side as the deafness. Two type of such abnormalities were found: vestibulocochlear gadolinium-enhanced change
in two patients; and a hyperintense vestibulocochlear timer observed in need gadolinium improvement, in three patients.

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