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Labyrinthitis
Troy A. Hutchins, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Subacute labyrinthitis
            • Definitions

              • Subacute inflammatory or infectious disease of fluid-filled spaces of inner ear (IE)
                • Labyrinthitis causes secondary changes within membranous labyrinth of IE

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Salzman KL et al: Intralabyrinthine schwannomas: imaging diagnosis and classification. AJNR Am J Neuroradiol. 33(1):104-9, 2012
                                      2. Kopelovich JC et al: Early prediction of postmeningitic hearing loss in children using magnetic resonance imaging. Arch Otolaryngol Head Neck Surg. 137(5):441-7, 2011
                                      3. Durisin M et al: Cochlear osteoneogenesis after meningitis in cochlear implant patients: a retrospective analysis. Otol Neurotol. 31(7):1072-8, 2010
                                      4. Wippold FJ 2nd et al: Vertigo and hearing loss. AJNR Am J Neuroradiol. 30(8):1623-5, 2009
                                      5. Battaglia A et al: Combination therapy (intratympanic dexamethasone + high-dose prednisone taper) for the treatment of idiopathic sudden sensorineural hearing loss. Otol Neurotol. 29(4):453-60, 2008
                                      6. Broughton SS et al: Immune-mediated inner ear disease: 10-year experience. Semin Arthritis Rheum. 34(2):544-8, 2004
                                      7. Hegarty JL et al: The value of enhanced magnetic resonance imaging in the evaluation of endocochlear disease. Laryngoscope. 112(1):8-17, 2002
                                      8. Annesley-Williams DJ et al: Magnetic resonance imaging in the investigation of sensorineural hearing loss: is contrast enhancement still necessary? J Laryngol Otol. 115(1):14-21, 2001
                                      9. Palacios E et al: Hemorrhagic labyrinthitis. Ear Nose Throat J. 79(2):80, 2000
                                      10. Bamiou DE et al: Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management. Int J Pediatr Otorhinolaryngol. 51(2):91-9, 1999
                                      11. Phelps PD et al: Imaging for cochlear implants. J Laryngol Otol Suppl. 24:21-3, 1999
                                      12. Stokroos RJ et al: Magnetic resonance imaging of the inner ear in patients with idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol. 255(9):433-6, 1998
                                      13. Strupp M et al: High resolution Gd-DTPA MR imaging of the inner ear in 60 patients with idiopathic vestibular neuritis: no evidence for contrast enhancement of the labyrinth or vestibular nerve. J Vestib Res. 8(6):427-33, 1998
                                      14. Casselman JW et al: Pathology of the membranous labyrinth: comparison of T1- and T2-weighted and gadolinium-enhanced spin-echo and 3DFT-CISS imaging. AJNR Am J Neuroradiol. 14(1):59-69, 1993
                                      15. Seltzer S et al: Contrast enhancement of the labyrinth on MR scans in patients with sudden hearing loss and vertigo: evidence of labyrinthine disease. AJNR Am J Neuroradiol. 12(1):13-6, 1991
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Subacute labyrinthitis
                                                • Definitions

                                                  • Subacute inflammatory or infectious disease of fluid-filled spaces of inner ear (IE)
                                                    • Labyrinthitis causes secondary changes within membranous labyrinth of IE

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Salzman KL et al: Intralabyrinthine schwannomas: imaging diagnosis and classification. AJNR Am J Neuroradiol. 33(1):104-9, 2012
                                                                          2. Kopelovich JC et al: Early prediction of postmeningitic hearing loss in children using magnetic resonance imaging. Arch Otolaryngol Head Neck Surg. 137(5):441-7, 2011
                                                                          3. Durisin M et al: Cochlear osteoneogenesis after meningitis in cochlear implant patients: a retrospective analysis. Otol Neurotol. 31(7):1072-8, 2010
                                                                          4. Wippold FJ 2nd et al: Vertigo and hearing loss. AJNR Am J Neuroradiol. 30(8):1623-5, 2009
                                                                          5. Battaglia A et al: Combination therapy (intratympanic dexamethasone + high-dose prednisone taper) for the treatment of idiopathic sudden sensorineural hearing loss. Otol Neurotol. 29(4):453-60, 2008
                                                                          6. Broughton SS et al: Immune-mediated inner ear disease: 10-year experience. Semin Arthritis Rheum. 34(2):544-8, 2004
                                                                          7. Hegarty JL et al: The value of enhanced magnetic resonance imaging in the evaluation of endocochlear disease. Laryngoscope. 112(1):8-17, 2002
                                                                          8. Annesley-Williams DJ et al: Magnetic resonance imaging in the investigation of sensorineural hearing loss: is contrast enhancement still necessary? J Laryngol Otol. 115(1):14-21, 2001
                                                                          9. Palacios E et al: Hemorrhagic labyrinthitis. Ear Nose Throat J. 79(2):80, 2000
                                                                          10. Bamiou DE et al: Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management. Int J Pediatr Otorhinolaryngol. 51(2):91-9, 1999
                                                                          11. Phelps PD et al: Imaging for cochlear implants. J Laryngol Otol Suppl. 24:21-3, 1999
                                                                          12. Stokroos RJ et al: Magnetic resonance imaging of the inner ear in patients with idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol. 255(9):433-6, 1998
                                                                          13. Strupp M et al: High resolution Gd-DTPA MR imaging of the inner ear in 60 patients with idiopathic vestibular neuritis: no evidence for contrast enhancement of the labyrinth or vestibular nerve. J Vestib Res. 8(6):427-33, 1998
                                                                          14. Casselman JW et al: Pathology of the membranous labyrinth: comparison of T1- and T2-weighted and gadolinium-enhanced spin-echo and 3DFT-CISS imaging. AJNR Am J Neuroradiol. 14(1):59-69, 1993
                                                                          15. Seltzer S et al: Contrast enhancement of the labyrinth on MR scans in patients with sudden hearing loss and vertigo: evidence of labyrinthine disease. AJNR Am J Neuroradiol. 12(1):13-6, 1991