MY CONTENT

The purpose of this study was to use a validated brain MRI scoring system (Bern score) to evaluate patients with confirmed skull base CSF leaks for findings associated with SIH. The authors found that patients with skull base CSF leaks did not have brain MRI findings that are associated with SIH and likely have distinct pathophysiology from spinal CSF leaks.

There are 2 major endotypes of Menière disease: one with a hypoplastic, underdeveloped endolymphatic sac and one with a normally developed sac that degenerates over time. This study explored the link between angular trajectory of the vestibular aqueduct and the thickness of the retrolabyrinthine bone to provide differentiation between MD endotypes using CT and MRI. The average retrolabyrinthine bone thickness was statistically significantly different between endotypes with retrolabyrinthine bone thickness >=1.2 mm, effectively ruling out hypoplastic Menière disease.