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Research ArticleHead and Neck Imaging

Retrospective Analysis of the Association of a Small Vestibular Aqueduct with Cochleovestibular Symptoms in a Large, Single-Center Cohort Undergoing CT

K. Bouhadjer, L.V. Romo, M.J. Brennan, B.M. Kozak, E. Hattingen, A.F. Juliano, H.D. Curtin and K.L. Reinshagen
American Journal of Neuroradiology December 2022, DOI: https://doi.org/10.3174/ajnr.A7734
K. Bouhadjer
aFrom the Department of Radiology (K.B., L.V.R., M.J.B., A.F.J., H.D.C., K.L.R.), Massachusetts Eye and Ear, Boston, Massachusetts
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  • ORCID record for K. Bouhadjer
L.V. Romo
aFrom the Department of Radiology (K.B., L.V.R., M.J.B., A.F.J., H.D.C., K.L.R.), Massachusetts Eye and Ear, Boston, Massachusetts
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M.J. Brennan
aFrom the Department of Radiology (K.B., L.V.R., M.J.B., A.F.J., H.D.C., K.L.R.), Massachusetts Eye and Ear, Boston, Massachusetts
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B.M. Kozak
bNeuroradiology Division (B.M.K.), Massachusetts General Hospital, Boston, Massachusetts
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E. Hattingen
cInstitut für Neuroradiologie (E.H.), Universitätsmedizin der Goethe Universität Frankfurt, Frankfurt am Main, Germany
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  • ORCID record for E. Hattingen
A.F. Juliano
aFrom the Department of Radiology (K.B., L.V.R., M.J.B., A.F.J., H.D.C., K.L.R.), Massachusetts Eye and Ear, Boston, Massachusetts
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H.D. Curtin
aFrom the Department of Radiology (K.B., L.V.R., M.J.B., A.F.J., H.D.C., K.L.R.), Massachusetts Eye and Ear, Boston, Massachusetts
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K.L. Reinshagen
aFrom the Department of Radiology (K.B., L.V.R., M.J.B., A.F.J., H.D.C., K.L.R.), Massachusetts Eye and Ear, Boston, Massachusetts
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    FIGURE

    Representative Pöschl reformatted multidetector CT image of a 59-year-old patient shows a small VA (A, white arrow) with measurement (0.2 mm) at the midpoint (B).

Tables

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    Table 1:

    Indications for CT in the 52 patients with small VAs

    IndicationNo. of Patients
    Cochlear implant follow-up or preop planning10
    Cholesteatoma8
    Hearing loss6
    Superior semicircular canal dehiscence5
    Tinnitus3
    Dizziness3
    Infection3
    Patulous eustachian tube2
    Otosclerosis2
    Aural fullness2
    Otorrhea2
    Ossicular anomaly1
    Osteoradionecrosis1
    Tympanic membrane perforation1
    Disequilibrium1
    Vestibular schwannoma1
    Ménière disease1
    • Note:—Preop indicates preoperative.

    • View popup
    Table 2:

    Distribution of patients with cochleovestibular symptoms by VA size

    VA SizeTotal (No.)MD (No.)Tinnitus (No.)Dizziness (No.)Vertigo (No.)Aural Fullness (No.)
    <0.3 mm5259660
    0.3 mm ≤ × ≤0.7 mm5937182794113
    >0.7 mm39014221
    • View popup
    Table 3:

    Distribution of patients by hearing loss type and VA size

    VA SizeTotal Patients (No.)HL (No.)SNHL (No.)CHL (No.)MHL (No.)UHL (No.)
    <0.3 mm523313767
    0.3 mm ≤ × ≤ 0.7 mm5933641321005478
    >0.7 mm392712618
    • Note:—HL indicates hearing loss; SNHL, sensorineural hearing loss; CHL, conductive hearing loss; MHL, mixed hearing loss; UHL, unspecified hearing loss.

    • View popup
    Table 4:

    Comparison of VA size and presence of MD by number of ears

    VA SizeTotal No. EarsMD
    <0.3 mm625
    0.3 mm ≤ × ≤ 0.7 mm123110
    >0.7 mm530
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K. Bouhadjer, L.V. Romo, M.J. Brennan, B.M. Kozak, E. Hattingen, A.F. Juliano, H.D. Curtin, K.L. Reinshagen
Retrospective Analysis of the Association of a Small Vestibular Aqueduct with Cochleovestibular Symptoms in a Large, Single-Center Cohort Undergoing CT
American Journal of Neuroradiology Dec 2022, DOI: 10.3174/ajnr.A7734

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Retrospective Analysis of the Association of a Small Vestibular Aqueduct with Cochleovestibular Symptoms in a Large, Single-Center Cohort Undergoing CT
K. Bouhadjer, L.V. Romo, M.J. Brennan, B.M. Kozak, E. Hattingen, A.F. Juliano, H.D. Curtin, K.L. Reinshagen
American Journal of Neuroradiology Dec 2022, DOI: 10.3174/ajnr.A7734
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