Observation and measurement of posterior circulation arteries in patients with sudden sensorinerual hearing loss under magnetic resonance angiography

MA Yu; DU Li

doi:10.16098/j.issn.0529-1356.2020.05.012

PDF(8238 KB)

Acta Anatomica Sinica ›› 2020, Vol. 51 ›› Issue (5) : 705-712. DOI: 10.16098/j.issn.0529-1356.2020.05.012

Observation and measurement of posterior circulation arteries in patients with sudden sensorinerual hearing loss under magnetic resonance angiography

MA Yu DU Li*

Author information +

History +

Abstract

Objective To study the patterns and diameters of posterior circulation in patients of sudden sensorinerual hearing loss(SSHL), and to provide anatomical evidence for the vascular etiology of SSHL. Methods The craniocerebral images of 3.0T time of fly magnetic resonance angiography (3.0T TOF MRA) of 180 patients diagnosed with sudden deafness in one ear and 102 control patients were retrospectively analyzed. Clinical data including age and gender distribution, level of low-density lipoprotein(LDL), total cholesterol(TC), triglycerides(TG), fibrinogen and velocity of blood in basilar artery were compared. Subsequently, diameter and patterns of basilar artery, diameter and dominance of vertebral arteries, visible rate and diameters of anterior inferior cerebellar arteries (AICA), and diameter and patterns of P1 segment of posterior cerebral arteries(PCA) and posterior communication arteries（PCoA）were compared between the two groups. Statistical method were used for analysis. Results Clinical data showed that the proportion of increase (34.44%)and significantly increase(11.22%) of LDL level in peripheral blood of SSHL group were higher than that of the control group (15.69% and 4.9%), and the proportion of increase (24.44%)and significantly increase(11.11%) of TC level in peripheral blood of SSHL group were higher than that of the control group (19.6% and 2.94%). MRA imaging result showed that the mean diameter of basilar artery in SSHL group(3.32±0.75 mm) was narrower than that in the control group (3.50±0.54 mm)(P<0.05);The imaging rate of only left AICA in SSHL group(10%) was lower than that in the control group (24.51%)(P<0.05);The invisible rate of bilateral AICA in SSHL group (38.89%) was higher than that in the control group (26.47%)( P<0.05);The overall distribution of AICA imaging status in two group was statistically significant(P<0.01). The mean diameter of imaged left side AICA in SSHL group (1.04±0.24) mm was narrower than that in the control group (1.16±03.28) mm (P<0.05). The mean diameter of left side P1 segment of PCA in SSHL group(1.27±0.54) mm was narrower than that in the control group (1.42±0.52)mm (P<0.05);The mean diameter of left right side P1 segment of PCA in SSHL group(1.25±0.58)mm was narrower than that in the control group (1.41±0.51) mm (P<0.05). The proportion of fetal posterior cerebral artery (fPCA) only on the left side of SSHL group(3.33%) was lower than that of the control group(9.8%)(P<0.05);The proportion of bilateral fPCA of SSHL group(13.89%) was higher than that of the control group(4.9%)(P<0.05);The difference in the overall distribution of the presence of fPCA between the two groups was statistically significant(P<0.01). Conclusion There is stenosis of the basilar and branch arteries, due to a high level of low-density lipoprotein and cholesterol in patients of SSHL.

Key words

Sudden sensorinerual hearing loss / Posterior circulation / Basilar artery / Vertebral artery / Anterior inferior cerebellar artery / Fetal posterior cerebral artery / Low-density lipoprotein / Cholesterol / Magnetic resonance angiography / Human

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

MA Yu DU Li. Observation and measurement of posterior circulation arteries in patients with sudden sensorinerual hearing loss under magnetic resonance angiography[J]. Acta Anatomica Sinica. 2020, 51(5): 705-712 https://doi.org/10.16098/j.issn.0529-1356.2020.05.012

References

［1］ Editorial Board of Clinical Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association of Otorhinolaryngology, Head and Neck Surgery.The SSHL diagnosis and treatment guidelines (2015)［J］. Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2015,50(6):443-447. (in Chinese)
中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科分会. 突发性聋诊断和治疗指南(2015)［J］.中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447.
［2］ Teranishi M, Katayama N, Uchida Y,et al.Thirty-year trends in sudden deafness from four nationwide epidemiological surveys in Japan［J］. Acta Otolaryngol, 2007, 127(12):1259-1265.
［3］ Ai W，Kong WJ．Effects of oxygen free radical on apoptosis in cochlea microvascular endothelial cells of guinea pigs and the underlying mechanism［J］. Acta Medicinae Universitatis Science of Technologiae Huazhong,2009,38(3):59-63.(in Chinese)
艾伟，孔维佳．氧自由基对豚鼠耳蜗微血管内皮细胞凋亡的影响及其机制［J］．华中科技大学学报(医学版),2009, 38(3):59-63.

［4］ Lee H．Neuro-otological aspects of cerebellar stroke syndrome［J］. J Clin Neurol,2009,5(2): 65-69．

［5］ Olindo S, Khaddam S, Bocquet J, et al. Association between basilar artery hypoplasia and undetermined or lacunar posterior circulation ischemic stroke ［J］. Stroke, 2010, 41(10):2371-2374.

［6］ Zhang DP, Yin S, Zhang SL,et al.Basilar artery hypoplasia associated with changes of brainstem potential, transcranial Doppler and perfusion-weighted imaging［J］. Int J Neurosci, 2017, 127(7):606-616.
［7］ Zhang Z. Association between basilar artery hypoplasia and posterior circulation infarction［J］. National Medical Journal of China, 2014, 94(47):3721-3725.
［8］ Wang D, Feng HL. Correlation between basilar artery curvature and cerebral stem infraction［J］. Journal of Brain and Nervous Diseases, 2018,26(7):456-458. (in Chinese)
王帝,丰宏林. 基底动脉弯曲和脑干梗死相关性研究［J］.脑与神经疾病杂志,2018,26(7):456-458.
［9］ Kim C, Sohn JH, Jang MU, et al. Ischemia as a potential etiologic factor in idiopathic unilateral sudden sensorineural hearing loss: analysis of posterior circulation arteries［J］．Hear Res, 2016, 331(1): 144-151.
［10］ Meng X, Ding W, Wu X, et al Clinical investigation and characterization of vertebrobasilar dolichoectasia and vertebral artery dominance［J］. Discov Med, 2018, 25(138):151-158.
［11］ Chen JJ, Chen DL. A case report of intracranial vertebral-basilar artery hypoplasia presenting with episodic dizziness［J］. Ghana Med J, 2010, 44(3):123-125.
［12］ Wang N, Li DW, Liu TT, et al. Research of the relationship among the vertebral artery dominance, basilar artery curvature and diopathic trigeminal neuralgia［J］. Journal of Clinical Neurology, 2017,30(6):418-421. (in Chinese)

王楠,李道伟,刘彤彤,等.椎动脉优势、基底动脉弯曲与经典三叉神经痛的相关性研究［J］.临床神经病学杂志,2017,30(6):418-421.

［13］ Zhao JY, Wang JM. Correlation between unilateral sudden deafness and imaging features of vertebrobasilar artery［J］. Journal of Otolaryngology and Ophthalmology of Shandong University,2019,33(4):47-51. (in Chinese)

赵俊英,王建明.单侧突发性聋与椎基底动脉影像学特征的相关性研究［J］.山东大学耳鼻喉眼学报,2019,33(4):47-51.
［14］ Dobiasova M, Frohlich J, Sedova M, et al. Cholesterol esterification and atherogenic index of plasma correlate with lipoprotein size and findings on coronary angiography［J］. J Lipid Res, 2011, 52(3):21-22.
［15］ Zhao H, Zhao PZh, Han XN, et al. Morphometric study on the intimal thickening of coronary arteries in youth［J］. Chinese Journal of Arteriosclerosis, 1995, 3(1):18-23. (in Chinese)
赵红，赵培真，韩晓男,等.年轻人动脉内膜增厚的形态定量研究［J］.中国动脉硬化杂志，1995,3(1)：18-23.

［16］ Ciccone MM, Cortese F, Pinto M, et al. Endothelial function and cardiovascular risk in patients with idiopathic sudden sen-sorineural hearing loss［J］. Atherosclerosis,2012, 225(2):511-516.

［17］ Passamonti SM, DiBerarclino F, Bucciarelli P, et al. Risk factors for idiopathic sudden neneeri neural hearing loss and their association with clinical outcome［J］. Thromb Res, 2015, 135(3):508-512.

［18］ Hou K, Li G, Luan T, et al. Anatomical study of anterior inferior cerebellar artery and its reciprocal relationship with posterior inferior cerebellar artery based on angiographic data［J］. World Neurosurg, 2020,133(1):e459-e472.

［19］ Seyman E, Shaim H, Shenhar-Tsarfaty S, et al. The collateral circulation determines cortical infarct volume in anterior circulation ischemic stroke［J］. BMC Neurol, 2016, 16(1):206.