3D-FLAIR MRI findings in a patient with Ramsay Hunt syndrome

Acta Otolaryngol. 2007 May;127(5):547-9. doi: 10.1080/00016480600801399.


Three-dimensional, fluid-attenuated inversion recovery (3D-FLAIR) of magnetic resonance imaging (MRI) has recently been developed to detect hemorrhage or high concentrations of protein. We present a patient with Ramsay Hunt syndrome, in whom high signals in the cochlear and vestibular apparatus were identified with 3D-FLAIR. The high signal areas in 3D-FLAIR were not detected by T1- and T2-weighted MRI in this case. This is the first report of high concentrations of protein in the inner ear in Ramsay Hunt syndrome using 3D-FLAIR, and suggests that high concentrations of protein in the inner ear are associated with hearing deterioration in some patients with Ramsay Hunt syndrome. 3D-FLAIR could be a useful diagnostic tool in the early stages of Ramsay Hunt syndrome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Viral / blood
  • Cochlea / pathology
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Herpesvirus 3, Human
  • Humans
  • Image Enhancement*
  • Image Processing, Computer-Assisted*
  • Imaging, Three-Dimensional*
  • Magnetic Resonance Imaging*
  • Middle Aged
  • Parkinsonian Disorders / diagnosis*
  • Vestibule, Labyrinth / pathology
  • Virus Activation


  • Antibodies, Viral