Phlebology · 2014
Chronic cerebrospinal venous insufficiency in Ménière disease.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Di Berardino Federica, Alpini Dario Carlo, Bavera Pietro Maria, Cecconi Piero, Farabola Mario, Mattei Valentina, Ambrosetti Umberto, Cesarani Antonio
Аннотация
OBJECTIVES: The aim of this study was to focus on patients suffering from cochleo-vestibular disorder with and without Ménière disease (MD) in order to verify whether chronic cerebrospinal drainage abnormalities could play a role in the etiopathogenesis of endolymphatic hydrops.
METHODS: Fifty-two volunteers were enrolled and subdivided into two groups: 24 definite MD and 28 not-MD. Both magnetic resonance venography imaging with contrast-enhanced imaging of the venous cerebrospinal system (MRV) and venous echo-color Doppler (ECD) were performed.
RESULTS: MRV showed abnormalities in 83% of MD and 57% of not-MD subjects (p < 0.001). Asymmetrical cervical venous flow, assessed by MRV, was confirmed by ECD in 62.5% of MD but in only 21.5% of not-MD subjects (p<0.001).
CONCLUSION: Chronic cerebrospinal venous insufficiency might be the anatomical background, which provides a predisposing factor for the development of endolymphatic hydrops in MD patients.
METHODS: Fifty-two volunteers were enrolled and subdivided into two groups: 24 definite MD and 28 not-MD. Both magnetic resonance venography imaging with contrast-enhanced imaging of the venous cerebrospinal system (MRV) and venous echo-color Doppler (ECD) were performed.
RESULTS: MRV showed abnormalities in 83% of MD and 57% of not-MD subjects (p < 0.001). Asymmetrical cervical venous flow, assessed by MRV, was confirmed by ECD in 62.5% of MD but in only 21.5% of not-MD subjects (p<0.001).
CONCLUSION: Chronic cerebrospinal venous insufficiency might be the anatomical background, which provides a predisposing factor for the development of endolymphatic hydrops in MD patients.
Предметные рубрики MeSH
AdultAgedAzygos VeinCerebral VeinsCerebrovascular CirculationChronic DiseaseCochlear DiseasesEndolymphatic HydropsFemaleHumansJugular VeinsMagnetic Resonance AngiographyMaleMeniere DiseaseMiddle AgedPredictive Value of TestsSensitivity and SpecificitySpinal CordUltrasonography, Doppler, ColorVenous InsufficiencyVestibular Diseases