Ménière disease

Case contributed by Naresh Maheshwari
Diagnosis almost certain

Presentation

Tinnitus and vertigo

Patient Data

Age: 65 years
Gender: Male
ct

Endolymphatic ducts and sacs are faintly visualized bilaterally worse on the left. Vestibular aqueducts are also stenotic.

Case Discussion

Ménière disease is largely a clinical diagnosis but radiologic diagnosis can be achieved with high-resolution dedicated imaging of the petrous temporal bones. Both CT and MRI could be considered for any clinically suspected Ménière disease.

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