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  • Title: Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging findings in a patient with relapsing polychondritis.
    Author: Kato M, Katayama N, Naganawa S, Nakashima T.
    Journal: J Laryngol Otol; 2014 Feb; 128(2):192-4. PubMed ID: 24495479.
    Abstract:
    OBJECTIVE: We report three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging findings in a patient with relapsing polychondritis. METHOD: Case report. RESULT: A 76-year-old woman initially presented with bilateral auricular swelling together with dyspnoea. Three months later, she experienced left hearing loss and recurrent vertigo. A biopsy of the auricle was performed and relapsing polychondritis was diagnosed. The patient underwent three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging 4 hours after intravenous injection of a standard dose of gadolinium. Gadolinium enhancement was visible throughout the vestibule and the endolymphatic space could not be visualised, suggesting breakdown of the blood-labyrinth barrier. CONCLUSION: This is the first radiological report to demonstrate breakdown of the blood-labyrinth barrier in a case of relapsing polychondritis with inner ear impairment.
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