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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleHead and Neck Imaging
Open Access

The Role of MRI in Diagnosing Neurovascular Compression of the Cochlear Nerve Resulting in Typewriter Tinnitus

Y.J. Bae, Y.J. Jeon, B.S. Choi, J.-W. Koo and J.-J. Song
American Journal of Neuroradiology June 2017, 38 (6) 1212-1217; DOI: https://doi.org/10.3174/ajnr.A5156
Y.J. Bae
aFrom the Departments of Radiology (Y.J.B., B.S.C.)
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Y.J. Jeon
bOtorhinolaryngology-Head and Neck Surgery (Y.J.J., J.-W.K., J.-J.S.), Seoul National University Bundang Hospital, Seongnam, Korea.
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B.S. Choi
aFrom the Departments of Radiology (Y.J.B., B.S.C.)
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J.-W. Koo
bOtorhinolaryngology-Head and Neck Surgery (Y.J.J., J.-W.K., J.-J.S.), Seoul National University Bundang Hospital, Seongnam, Korea.
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J.-J. Song
bOtorhinolaryngology-Head and Neck Surgery (Y.J.J., J.-W.K., J.-J.S.), Seoul National University Bundang Hospital, Seongnam, Korea.
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    Fig 1.

    Types of AICA loops. A, Type I AICA loops lie within the CPA (arrow) but do not enter the IAC. B, Type II AICA loops enter the IAC (arrow) but do not extend into >50% of the length of the IAC. C, Type III AICA loops extend into >50% of the IAC (arrow).

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    Fig 2.

    Neurovascular contact types between the AICA and the cochleovestibular nerve. A, A type I neurovascular contact shows no neurovascular contact (arrow). B, A type II neurovascular contact shows contact (arrow) between the AICA and the cochleovestibular nerve without angulation/indentation of the nerve. C, A type III neurovascular contact shows angulation/indentation (arrow) of the cochleovestibular nerve by the AICA loop.

Tables

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  • MRI findings according to patient groups

    TypeGroup 1 (n = 16)Group 2 (n = 14)Group 3 (n = 16)P Values
    AICA
        I7 (43.8%)7 (50.0%)13 (81.3%)
        II7 (43.8%)6 (42.9%)2 (12.5%)
        III2 (12.5%)1 (7.1%)1 (6.3%)
    .803a/.158b/.065c
    Neurovascular contact
        I5 (31.3%)8 (57.1%)10 (62.5%)
        II8 (50.0%)6 (42.9%)6 (37.5%)
        III3 (18.8%)0 (0%)0 (0%)
    .130a/.769b/.032c,d
    • ↵a P values indicate the results of statistical comparisons between groups 1 and 2 by the Wilcoxon signed rank test.

    • ↵b P values indicate the results of statistical comparisons between groups 2 and 3 by the linear association test.

    • ↵c P values indicate the results of statistical comparisons between groups 1 and 3 by the linear association test.

    • ↵d P values < .05.

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American Journal of Neuroradiology: 38 (6)
American Journal of Neuroradiology
Vol. 38, Issue 6
1 Jun 2017
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Cite this article
Y.J. Bae, Y.J. Jeon, B.S. Choi, J.-W. Koo, J.-J. Song
The Role of MRI in Diagnosing Neurovascular Compression of the Cochlear Nerve Resulting in Typewriter Tinnitus
American Journal of Neuroradiology Jun 2017, 38 (6) 1212-1217; DOI: 10.3174/ajnr.A5156

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The Role of MRI in Diagnosing Neurovascular Compression of the Cochlear Nerve Resulting in Typewriter Tinnitus
Y.J. Bae, Y.J. Jeon, B.S. Choi, J.-W. Koo, J.-J. Song
American Journal of Neuroradiology Jun 2017, 38 (6) 1212-1217; DOI: 10.3174/ajnr.A5156
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    Clinical and Experimental Otorhinolaryngology 2020 13 2
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  • Differentiation Between Intralabyrinthine Schwannoma and Contrast-enhancing Labyrinthitis on MRI: Quantitative Analysis of Signal Intensity Characteristics
    Yun Jung Bae, Jae-Jin Song, Byung Se Choi, Young Kang, Jae Hyoung Kim, Ja-Won Koo
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  • The Impact of Vascular Loops in the Cerebellopontine Angle on Audio-Vestibular Symptoms: A Systematic Review
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    Audiology and Neurotology 2022 27 3
  • The Relation Between Tinnitus and a Neurovascular Conflict of the Cochleovestibular Nerve on Magnetic Resonance Imaging
    Thomas T. A. Peters, Minke J. C. van den Berge, Rolien H. Free, Anton M. van der Vliet, Hanna Knoppel, Pim van Dijk, Rutger Hofman
    Otology & Neurotology 2020 41 1
  • Presence of vascular loop in patients with audio-vestibular symptoms: is it a significant finding? Evaluation with 3-tesla MRI 3D constructive interference steady state (CISS) sequence
    Mamdouh A. Zidan, Nufe Almansor
    Egyptian Journal of Radiology and Nuclear Medicine 2020 51 1

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