Inner ear anomalies seen on CT images in people with Down syndrome

Jarunee Intrapiromkul, Nafi Aygun, David E. Tunkel, Marco Carone, David M. Yousem

Research output: Contribution to journalArticle

Abstract

Background: Although dysplasia of inner ear structures in Down syndrome has been reported in several histopathological studies, the imaging findings have not been widely studied. Objective: To evaluate the prevalence and clinical significance of inner ear anomalies detected on CT images in patients with Down syndrome. Materials and methods: The temporal bone CT images of patients with Down syndrome were assessed for inner ear anomalies; clinical notes and audiograms were reviewed for hearing loss. Logistic regression models were employed to identify which CT findingswere associatedwith sensorineural hearing loss (SNHL). Results: Inner ear anomalies were observed in 74.5% (38/51) of patients. Malformed bone islands of lateral semicircular canal (LSCC), narrow internal auditory canals (IACs), cochlear nerve canal stenoses, semicircular canal dehiscence (SCCD), and enlarged vestibular aqueducts were detected in 52.5% (53/ 101), 24.5% (25/102), 21.4% (21/98), 8.8% (9/102) and 2% (2/101) of patients' ears, respectively. IAC stenosis had the highest odds ratio (OR05.37, 95% CI: 1.0-28.9, P00.05) for SNHL. Conclusion: Inner ear anomalies occurred in 74.5% of our population, with malformed (<3 mm) bone island of LSCC being the most common (52.5%) anomaly. Narrow IAC was seen in 24.5% of patients with Down syndrome and in 57.1% of ears with SNHL. High-resolution CT is a valuable for assessing the cause of hearing loss in people with Down syndrome.

Original languageEnglish (US)
Pages (from-to)1449-1455
Number of pages7
JournalPediatric radiology
Volume42
Issue number12
DOIs
StatePublished - Dec 1 2012

Keywords

  • CT
  • Down syndrome
  • Inner ear
  • Temporal bone
  • Trisomy 21

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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