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신경섬유종증 제 2형 환자에서 자기공명영상 촬영을 고려한 인공와우 이식술 1예

A Case of Cochlear Implantation in the Patient With Neurofibromatosis Type II Considering Magnetic Resonance Imaging

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주제분류이비인후과학

초록

Cochlear implantation is the treatment of choice for patients with profound sensorineuralhearing loss. Neurofibromatosis type II is a multiple tumor syndrome caused by gene mutation,and MRI is necessary for follow up. When patients with cochlear implantation undergoMRI, pain, dislocation of the device, and artifacts of the image are common problems. Thedegree of image artifacts may vary depending on the implant position. We report a case ofneurofibromatosis type II diagnosed in a patient, who received cochlear implantation in a positionmost optimal for observation of vestibular schwannoma via MRI.

Abstract

Cochlear implantation is the treatment of choice for patients with profound sensorineuralhearing loss. Neurofibromatosis type II is a multiple tumor syndrome caused by gene mutation,and MRI is necessary for follow up. When patients with cochlear implantation undergoMRI, pain, dislocation of the device, and artifacts of the image are common problems. Thedegree of image artifacts may vary depending on the implant position. We report a case ofneurofibromatosis type II diagnosed in a patient, who received cochlear implantation in a positionmost optimal for observation of vestibular schwannoma via MRI.

참고문헌 (10)

  1. Todt I, "Pain free 3 T MRI scans in cochlear implantees", Otol Neurotol, 38(10), pp.e401~e404 (2017)
  2. Asthagiri AR, "Neurofibromatosis type 2", Lancet, 373(9679), pp.1974~1986 (2009)
  3. Evans DG, "Neurofibromatosis type 2(NF2) : A clinical and molecular review", Orphanet J Rare Dis, 4, pp.16~ (2009)
  4. Wagner F, "Significant artifact reduction at 1. 5T and 3T MRI by the use of a cochlear implant with removable magnet : An experimental human cadaver study", PLoS One, 10(7), pp.e0132483~ (2015)
  5. Shew M, "Magnetic resonance imaging in a neurofibromatosis type 2 patient with a novel MRIcompatible auditory brainstem implant", J Neurol Surg Rep, 78(1), pp.e12~e14 (2017)
  6. Wolf-Magele A, "MRI safety with cochlear implants up to three tesla–experiences by performing an in vitro test", J Otol Rhinol, 5, pp.4~ (2016)
  7. Todt I, "MRI artifacts and cochlear implant positioning at 3 T in vivo", Otol Neurotol, 36(6), pp.972~976 (2015)
  8. Walton J, "MRI without magnet removal in neurofibromatosis type 2patients with cochlear and auditory brainstem implants", Otol Neurotol, 35(5), pp.821~825 (2014)
  9. Schröder D, "Magnetic resonance imaging artifacts and cochlear implant positioning at 1.5 T in vivo", Biomed Res Int, 2018, pp.9163285~ (2018)
  10. Todt I, "Comparison of cochlear implant magnets and their MRI artifact size", Biomed Res Int, 2020, pp.5086291~ (2020)

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