Résumé
Abstract Introduction The prevalence of tinnitus is higher in individuals with temporoman- dibular joint disorder (TMD) than in the general population. Magnetic resonance imaging (MRI) of the temporomandibular joint (TMJ) is the method of choice for investigation, and it has been hypothesized that specific MRI findings might be observed in TMD with comorbid tinnitus. Objective To comparatively describe MRI findings in patients with TMD with and without tinnitus, identifying the most common TMJ alterations and determining whether a correlation exists between severity of TMD and tinnitus. Methods A cross-sectional study of 53 adult patients with bilateral or unilateral TMD (30 with and 23 without tinnitus). The association between tinnitus and morphological aspects of TMD (changes in condylar morphology, articular eminence morphology, and disc morphology), disc displacement (with/without reduction), condylar translation, and intra-articular effusion was analyzed on MRI images. Results The mean patient age was 46.12 ± 16.1 years. Disc displacement was the most common finding in both groups (24 patients with tinnitus versus 15 without; p = 0.043). Only the frequency of disc displacement with reduction was significantly different between groups. Conclusion Additional imaging techniques should be explored to detect specific aspects of the relationship between tinnitus and TMD.
Sujets)
Humains , Mâle , Femelle , Adulte , Adulte d'âge moyen , Articulation temporomandibulaire/imagerie diagnostique , Acouphène/imagerie diagnostique , Imagerie par résonance magnétique , Troubles de l'articulation temporomandibulaire/imagerie diagnostique , Audiométrie électroencéphalographique , Audiométrie tonale , Articulation temporomandibulaire/anatomopathologie , Acouphène/diagnostic , Acouphène/étiologie , Indice de gravité de la maladie , Troubles de l'articulation temporomandibulaire/complications , Troubles de l'articulation temporomandibulaire/anatomopathologie , Études transversalesRésumé
A siderose superficial pode ser causada pela deposição hemossiderina nas leptomeninges e nas camadas subpiais do neuro-eixo causada por hemorragia subaracnóide recorrente. Faz-se necessária a exploração dos prováveis locais responsáveis pelo sangramento intratecal. Até 50 por cento dos pacientes podem ter uma fonte de sangramento identificada, casos em que a progressão da doença pode ser evitada. Neste relato, os autores apresentam um caso em que a siderose superficial do sistema nervoso central se dese4nvolveu duas décadas depois de uma lesão traumática do plexo braquial.