耳硬化症ppt课件.ppt

A, Axial CT image shows pronounced demineralization (arrow) surrounding the cochlea. Note that the demineralization abuts the lumen in several places. B,Slightly inferior cut shows the demineralization of the otic capsule Coronal contrast-enhanced MR image in a patient with left-sided SNHL. Bilateral pericochlear ring-like enhancement (arrow) is suggestive of bilateral cochlear otosclerosis, which was further proven by HRCT A, Axial CT image shows the demineralization around the cochlea on either side. This gives the appearance of the double ring or fourth turn of the cochlea. B, Axial T2-weighted MR image shows the lumen of the cochlea but only a very faint hint of demineralization on the left side. aAxial HRCTof the right temporal bone in a patient with known bilateral cochlear otosclerosis. There is almost complete obliteration of the basal turn of the right cochlea (arrow) by the otosclerotic process.b Axial MRI of the temporal bones in the same patient as at the level of the cochlea. There is significant obliteration of the fluid space in the basal turn of the right cochlea (arrow). Fig. 15 Axial HRCT images of the right(a) and left(b) temporal bone in a young adult with known osteogenesis imperfecta tarda and bilateral SNHL. Bilateral pericochlear ring-like Hypodensity (arrows) closely mimics cochlear otosclerosis Axial (a) and coronal(b) HRCT images of the right temporal bone in a child with suspected left SNHL. The small lucency seen around the cochlea (arrow) on both the axial and coronal images is in keeping with a cochlear cleft (normal variant) Axial HRCT of the skull base in an adult patient with known Paget’s disease. The hypodense appearance of bilateral otic capsules (arrows) may mimic otosclerosis; however the diffuse skull base involvement indicates the true pathology Alicia M. Quesnel, MD，Correlation of Computed Tomography with Histopathology in Otosclerosis，Otol Neurotol. 2013 January ; 34(1): 22–28