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.
Chronic cerebrospinal venous insufficiency in Meniere disease / F. Di Berardino, D. Alpini, P.M. Bavera, P. Cecconi, M. Farabola, V. Mattei, U. Ambrosetti, A. Cesarani. - In: PHLEBOLOGY. - ISSN 0268-3555. - 30:4(2014 May), pp. 274-279.
|Titolo:||Chronic cerebrospinal venous insufficiency in Meniere disease|
DI BERARDINO, FEDERICA (Primo)
AMBROSETTI, UMBERTO (Penultimo)
CESARANI, ANTONIO (Ultimo)
|Parole Chiave:||Chronic cerebrospinal venous insufficiency ; Ménière disease ; hearing loss ; vertigo|
|Settore Scientifico Disciplinare:||Settore MED/32 - Audiologia|
|Data di pubblicazione:||mag-2014|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1177/0268355514526871|
|Appare nelle tipologie:||01 - Articolo su periodico|