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Endolymphatic Hydrops Secondary to Spontaneous Intracranial Hypotension
Author(s) -
Poillon Guillaume,
Hautefort Charlotte,
Levy Daniel,
Eliezer Michael
Publication year - 2020
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.13866
Subject(s) - endolymphatic hydrops , medicine , tinnitus , vertigo , meniere's disease , fluid attenuated inversion recovery , magnetic resonance imaging , hearing loss , intracranial hypotension , saccule , radiology , vestibular system , audiology , surgery
Background Spontaneous intracranial hypotension may be associated with neuro‐otological symptoms that might mimic Menière’s disease. Case Presentation We report the case of a 53‐year‐old male presenting bi‐frontal headache with recurrent spells of vertigo, left fluctuating hearing loss, and tinnitus. Dedicated brain and inner ear Magnetic Resonance Imaging, including a post‐contrast 4 hours delayed FLAIR sequence, revealed typical signs of spontaneous intracranial hypotension associated with endolymphatic hydrops involving the left saccule and cochlea. Conclusions Audio vestibular manifestations mimicking Menière's disease in spontaneous intracranial hypotension could be explained by endolymphatic hydrops, which can be detected using dedicated magnetic resonance imaging sequences.