gms | German Medical Science

Figure

Figure 2: Hydropic ear disease, right-sided: a: The patient suffered from “recurrent sudden hearing losses” in the lower frequency range on the right side, which recovered during systemic high-dose prednisolone therapy (“fluctuating hearing loss”). Considering the imaging (b), the disease is classified as “primary hydropic ear disease of cochlear type” and when vertigo appears as “primary hydropic ear disease of the cochlea-vestibular type” or Meničre’s disease [46]. b: MRI reveals an enlarged endolymphatic space in the cochlea (small arrow) and in particular in the vestibulum (large arrow) of the right side, indicating a moderate endolymphatic hydrops (3D IR sequence, 6 hours after intravenous application of contrast medium); CM: contrast agent; w: weighted. (b Department of Radiology, University Medicine Halle, courtesy of Prof. Dr. S. Kösling).