Radiographic Evidence of Occult Intracranial Hypertension in Patients with Ménière's Disease.
Publication/Presentation Date
8-1-2017
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
Volume
157
Issue
2
First Page
260
Last Page
268
ISSN
1097-6817
Published In/Presented At
Tawfik, K. O., Stevens, S. M., Mihal, D., Costello, M. S., Cornelius, R. S., Samy, R. N., & Pensak, M. L. (2017). Radiographic Evidence of Occult Intracranial Hypertension in Patients with Ménière's Disease. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 157(2), 260–268. https://doi.org/10.1177/0194599817699401
Disciplines
Medicine and Health Sciences
PubMedID
28349763
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article