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Does the work up for dizziness make your head spin?. This month’s @theAJNR SCANtastic will tell you all you need about imaging Meniere’s disease!. Meniere’s is a common cause & we can help diagnose it w/imaging!. First, you must know labyrinth anatomy.

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RT @teachplaygrub: Does the work up for dizziness make your head spin?. Wondering what you should look when a patient presents w/dizziness?….

Does the work up for dizziness make your head spin?. Wondering what you should look when a patient presents w/dizziness?. This month’s @theAJNR SCANtastic has what you need to hear!. For every patient w/dizziness, remember the mnemonic VESTIBULAR to

RT @teachplaygrub: 1/Does the work up for dizziness make your head spin?. Wondering what to look for on an MR for dizziness. This month’s @….

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@TheAJNR 13/So now you know the findings of Meniere’s disease on delayed post contrast MRI!. Hopefully now an MRI for dizziness won’t put you off balance! . Follow @theAJNR & check it out for yourself!.

@TheAJNR 12/I think that this looks like a bird pooping!. Remember: When your belly’s full, you may need to poop!

@TheAJNR 11/In this month’s @the AJNR, found that when the endolymph herniates in the semicircular canal, Meniere’s disease is usually more severe & has been present longer

@TheAJNR 10/Utricle endolymph may also be hydropic—then you see big eye & belly. Remember this bc when you are dizzy & high, you have big eyes & are also hungry!

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@TheAJNR 9/ An early hydrops sign is when the saccule endolymph gets enlarged (hydropic). Bird’s eye gets huge & runs into the belly. Remember, your eyes get big when you are dizzy!

@TheAJNR 8/ The eye filling defect is the saccule. I remember that bc it’s the SACCule & eyes have SACCades. The belly filling defect is the utricle. You can remember this bc utricle means pouch (like uterus) & the belly is just a big pouch.

@TheAJNR 7/ On delayed axial post images, vestibular structures look like a bird. Body is perilymph & endolymph filling defects are the eye & belly

@TheAJNR 6/So when we give contrast & wait 4 hours, the perilymph (skin) will have taken it up but endolymph (intestine) will not. So endolymph will look like a dark filling defect on the bright background perilymph

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@TheAJNR 5/So how to image hydrops? Remember the worm. If a worm is put in dye, it’ll absorb dye into its skin, but not its intestine. Same for the labyrinth. If you give contrast, it’s absorbed into the perilymph, but not endolymph

@TheAJNR 4/Labyrinth like a worm. It has its outer skin, but inside is its intestine that runs inside the skin. Endolymphatic hydrops when the intestine gets big inside from eating too much but the skin is the same size.

@TheAJNR 3/To understand Meniere’s disease, you must know labyrinth anatomy. It has layers, like Russian nesting dolls. Outer doll is the bony labyrinth, holding perilymph & a second doll—membranous labyrinth. Inside the membranous labyrinth is endolymph

@TheAJNR 2/The etiology for dizziness can have very diverse causes—each with very different treatments. So it is important to try to differentiate. Meniere’s is a common cause & we can help diagnose it w/imaging!

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1/Does the work up for dizziness make your head spin?. Wondering what to look for on an MR for dizziness. This month’s @theAJNR SCANtastic will tell you all you need about imaging Meniere’s disease!.

RT @teachplaygrub: Want to dive deep into deep gray anatomy??. Here’s how to remember the basics:. Deep gray structures look like a sad fac….

Want to dive deep into deep gray anatomy??. Here’s how to remember the basics:. Deep gray structures look like a sad face—remember they are feeling sad or gray!!. Caudates are the eyes: remember both Cornea and Caudate start with C. Putamina are the cheeks: Remember both Putamen