Radiographic Evidence of Occult Intracranial Hypertension in Patients with Ménière's Disease.

Document Type

Article

Abstract

Objectives (1) Describe the prevalence of radiographic signs of intracranial hypertension (ICH) in Ménière's disease (MD) and (2) compare the prevalence of radiographic signs of ICH in MD patients managed medically to those managed surgically. Study Design Case-control study. Setting Academic neurotologic practice. Subjects and Methods Adult MD patients (aged ≥17 years) treated from 2011 to 2015 were reviewed. Inclusion required magnetic resonance imaging (MRI) of the head and follow-up >6 months. Patients with intracranial tumors, mass effect, trauma, previous intracranial surgery, and glaucoma were excluded. MD patients were separated by administered treatment into medical and surgical subgroups. Cochlear implant (CI) recipients served as radiographic controls. Eighty-four MD patients (46 surgical, 38 medical) and 37 CI controls were assessed. MRI measurements assessed for empty/partial sella (ES/PS), dilated/tortuous optic nerve sheath (ONS), and posterior globe flattening (PGF). Results Mean age was 53.8 ± 1.3 years and median body mass index (BMI) was 28.2 kg/m

Medical Subject Headings

Adolescent; Adult; Aged; Case-Control Studies; Cochlear Implants; Eye; Female; Humans; Intracranial Hypertension; Magnetic Resonance Imaging; Male; Meniere Disease; Middle Aged; Optic Nerve; Sella Turcica; Young Adult

Publication Date

8-1-2017

Publication Title

Otolaryngology and head and neck surgery

ISSN

1097-6817

Volume

157

Issue

2

First Page

260

Last Page

268

PubMed ID

28349763

Digital Object Identifier (DOI)

10.1177/0194599817699401

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