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A Revised Surgical Approach to Induce Endolymphatic Hydrops in the Guinea Pig
Published on: June 4, 2020
Endolymphatic Hydrops Secondary to Spontaneous Intracranial Hypotension
Guillaume Poillon1, Charlotte Hautefort2, Daniel Levy3
1Department of Neuroradiology, Fondation Adolphe de Rothschild, Paris, France.
Background:
Spontaneous intracranial hypotension may be associated with neuro-otological symptoms that might mimic Menière's disease.
Case Presentation:
We report the case of a 53-year-old male presenting bi-frontal headache with recurrent spells of vertigo, left fluctuating hearing loss, and tinnitus. Dedicated brain and inner ear Magnetic Resonance Imaging, including a post-contrast 4 hours delayed FLAIR sequence, revealed typical signs of spontaneous intracranial hypotension associated with endolymphatic hydrops involving the left saccule and cochlea.
Conclusions:
Audio vestibular manifestations mimicking Menière's disease in spontaneous intracranial hypotension could be explained by endolymphatic hydrops, which can be detected using dedicated magnetic resonance imaging sequences.
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