J Korean Neurol Assoc.  2015 Nov;33(4):306-309. 10.17340/jkna.2015.4.10.

Magnetic Resonance Imaging Fails to Show Evidence of Endolymphatic Hydrops in a Case with Tumarkin's Otolithic Crisis

Affiliations
  • 1Department of Neurology, Chonbuk National University School of Medicine, Jeonju, Korea. ohsun@jbnu.ac.kr
  • 2Department of Radiology, Chonbuk National University School of Medicine, Jeonju, Korea.

Abstract

Tumarkin's otolithic crisis refers to drop attacks that are an unusual manifestation of Meniere's disease. It has been proposed that these drop attacks result from mechanical deformation of the otolithic organs related to the endolymphatic hydrops that occurs in Meniere's disease, as revealed by MRI with intratympanic gadolinium enhancement. Here we report a patient with Tumarkin's otolithic crisis in whom inner-ear MRI with intratympanic gadolinium administration during the acute attack did not reveal the presence of endolymphatic hydrops.

Keyword

Tumarkin's otolithic crisis; Endolymphatic hydrops; Meniere's disease

MeSH Terms

Endolymphatic Hydrops*
Gadolinium
Humans
Magnetic Resonance Imaging*
Meniere Disease
Otolithic Membrane*
Syncope
Gadolinium
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