Dural Thickening of the Internal Auditory Canal in Patients With Spontaneous Intracranial Hypotension Syndrome.

Abstract:

OBJECTIVE:This study aimed to assess the utility of dural thickening of the internal auditory canal (IAC) in patients with spontaneous intracranial hypotension (SIH) syndrome and determined the sensitivity and specificity of this image finding. METHODS:Magnetic resonance images were evaluated for 22 cases of definite SIH and 16 cases of unlikely SIH. On contrast-enhanced magnetic resonance imaging, pachymeningeal enhancement and dural thickening of the IAC were assessed. RESULTS:Pachymeningeal enhancement was observed in 21 of 22 patients in the definite SIH group and 1 of 16 patients in the unlikely SIH group (sensitivity, 95.5%; specificity, 93.8%). Dural thickening of the IAC was observed in 15 of 22 patients in the definite SIH group and 0 of 16 patients in the unlikely SIH group (sensitivity, 68.2%; specificity, 100%). CONCLUSIONS:Dural thickening of the IAC showed 100% specificity for SIH syndrome and can increase the accuracy of diagnosis of SIH syndrome.

journal_name

J Comput Assist Tomogr

authors

Hori S,Taoka T,Miyasaka T,Ochi T,Sakamoto M,Wada T,Myochin K,Takayama K,Kichikawa K

doi

10.1097/RCT.0000000000000342

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

297-300

issue

2

eissn

0363-8715

issn

1532-3145

journal_volume

40

pub_type

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