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Updated: Aug 15, 2025

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Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct
Published on: January 22, 2010
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Temporal changes in endolymphatic hydrops on MRI with or without intervention: A systematic review.
Maria A Mavrommatis1, Vivian F Kaul2, Kevin Chow3
1Department of Otolaryngology - Head & Neck Surgery, Mount Sinai, New York, NY, USA.
American Journal of Otolaryngology
|January 1, 2023
Summary
Meniere's Disease treatments often improve vertigo symptoms, even when MRI shows no change or worsening of inner ear fluid buildup (endolymphatic hydrops). MRI is better for diagnosis than tracking treatment effectiveness.
Area of Science:
- Otolaryngology
- Neurology
- Radiology
Background:
- Meniere's Disease (MD) is characterized by endolymphatic hydrops (ELH), an excess of inner ear fluid.
- Magnetic Resonance Imaging (MRI) can detect ELH, but its utility in monitoring changes over time and post-treatment is less understood.
Conclusions:
- Symptomatic relief in MD patients can occur despite persistent or increased ELH volume.
- MRI is valuable for diagnosing ELH but may be less effective for assessing treatment response in Meniere's Disease.
Keywords:
DiureticsEndolymphatic hydropsEndolymphatic sac surgeryHearing lossMagnetic resonance imagingMeniere's diseaseVertigo
