3D-FLAIR MRI在内耳出血所致的SSNHL诊断中的作用

doi:10.6040/j.issn.1673-3770.1.2020.082

摘要/Abstract

摘要： 突发性感音神经性听力下降(SSNHL),是指72 h内突发,原因不明的感音神经性听力损失,至少在相邻三个频率的听力下降≥30 dB HL,其中一个可能的病因就是内耳出血;然而,常规MRI序列仍很难发现内耳出血。现有研究表明3D-FLAIR MRI序列有可能敏感地发现SSNHL患者中的内耳出血。综述了临床上应用3D-FLAIR MRI序列评价内耳出血所致SSNHL的相关研究。

关键词: 内耳出血, 核磁共振成像, 3D-FLAIR序列, 内耳高信号, 听力丧失, 眩晕

Abstract: Sudden sensorineural hearing loss(SSNHL)is defined as a decease in hearing ≥30 dB HL affecting at least three consecutive frequencies with no identifiable cause within 72 h. A possible cause is inner ear hemorrhage. However, detecting inner ear hemorrhage is difficult with conventional magnetic resonance imaging(MRI)sequences. Some studies showed that the 3-dimensional fluid attenuated inversion recovery(3D-FLAIR)MRI sequence could sensitively detect inner ear hemorrhage in SSNHL patients. In this article, we review the related literature about the clinical application of the 3D-FLAIR MRI sequence to evaluate SSNHL caused by inner ear hemorrhage.

Key words: Inner ear hemorrhage, Magnetic resonance imaging, 3D-FLAIR sequence, High signal in inner ear, Hearing loss, Vertigo

中图分类号:

R764

赵欢娣,成颖,杨军,张青. 3D-FLAIR MRI在内耳出血所致的SSNHL诊断中的作用[J]. 山东大学耳鼻喉眼学报, 2020, 34(5): 97-101.

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