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Magnetic resonance imaging (MRI) is accepted as one of the most sensitive and specific measures currently available in diagnosing endocranial disorders. In a retrospective study, the clinical records and the results of MRI scans of 287 patients (105 men and 182 women) presented to the ENT department of St. Marianna University School of Medicine, Toyoko Hospital, were analysed. Inclusion criteria to receive an MRI scan included patients with sensorineural hearing loss (70 patients), tinnitus (78 patients) or vertigo (139 patients) between 1995 and 1997. Pathological conditions were detected in MRI scans in 12.9% of patients with sensorineural hearing loss, 6.4% with tinnitus and 7.9% with vertigo. There was no statistically significant difference between the three groups. Since many silent lacunar lesions were detected in this study, we investigated the morbidity rate of silent lacunar lesions. There were silent lacunar lesions in 10.0% of patients with sensorineural hearing loss, 15.4% with tinnitus and 20.1% with vertigo. There was no significant difference between the three groups. In this study, more than 50% of silent lacunar lesions were observed in patients whose ages were over 60years. In addition, patients with hypertension or heart disease suffered silent lacunar lesions more frequently than patients without hypertension or heart disease. We believe that a patient's age and prevalence of hypertension or heart disease important factors when selecting patients for MRI study.

Evaluation with Magnetic Resonance Imaging of Patients with Sensorineural Hearing Loss, Tinnitus or Vertigo.