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  • Title: 3D-FLAIR MRI in facial nerve paralysis with and without audio-vestibular disorder.
    Author: Nakata S, Mizuno T, Naganawa S, Sugiura M, Yoshida T, Teranishi M, Sone M, Nakashima T.
    Journal: Acta Otolaryngol; 2010 May; 130(5):632-6. PubMed ID: 19916898.
    Abstract:
    CONCLUSION: Among patients with facial nerve paralysis, significant difference was observed on three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging (3D-FLAIR MRI) between those with and without audio-vestibular disturbance. This MRI technique may contribute to elucidation of the pathology of Ramsay Hunt syndrome and Bell's palsy. OBJECTIVE: To evaluate the 3D-FLAIR MRI findings in patients who have facial nerve paralysis with and without audio-vestibular disturbance. METHODS: 3D-FLAIR MRI was performed with and without gadolinium enhancement in 15 patients (5 men and 10 women) with unilateral facial nerve paralysis: 3 patients with Ramsay Hunt syndrome, 3 patients having facial nerve paralysis with hearing loss or vertigo without vesicles, and 9 patients with Bell's palsy. RESULTS: Five of the six patients with audio-vestibular disturbance showed high signals in the inner ear on precontrast 3D-FLAIR. In comparison, among nine patients with Bell's palsy, only one patient showed high signals in the inner ear on precontrast 3D-FLAIR (p < 0.05).
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