Publications by authors named "Kaijun Xia"

Intralabyrinthine schwannoma (ILS) is a rare benign tumor of the inner ear, often presenting with nonspecific symptoms such as hearing loss, tinnitus and vertigo. Vestibular function in ILS patients remains underexplored. This study aims to evaluate vestibulo-ocular reflex (VOR) function and inner ear magnetic resonance imaging (MRI) signal changes in ILS, and to provide insights into potential mechanisms underlying vestibular dysfunction.

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Background: Endolymphatic hydrops (ELH) can be identified by electrophysiological and radiological examinations.

Objectives: We aimed to investigate the relationship between audiometric glycerol test and delayed magnetic resonance imaging (MRI) of the inner ear after intratympanic gadolinium in patients with unilateral Ménière's disease (MD).

Material And Methods: Forty-two patients with unilateral definite MD underwent audiometric glycerol test and delayed MRI following intratympanic gadolinium application.

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BackgroundRamsay Hunt syndrome with dizziness (RHSD), vestibular neuritis (VN), and idiopathic sudden sensorineural hearing loss with vertigo (SHLV) all present with acute vestibular symptoms, and no study has compared the semicircular canal (SCC) deficits among them.ObjectiveThis study aimed to use video head impulse test (vHIT) to compare the SCC injury patterns in RHSD, VN, and SHLV.MethodsTwenty-three RHSD patients, 44 VN patients, and 70 SHLV patients were enrolled.

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Objective: We aimed to investigate the association between the angular trajectory of the vestibular aqueduct (ATVA) with other radiological parameters of temporal bone and clinical characteristics in patients with Ménière's disease (MD).

Methods: A total of 125 unilateral MD patients and 118 controls were enrolled. Computer tomography (CT)-based radiological parameters included ATVA, vestibular aqueduct (VA) visibility, VA morphology, the vertical part of the posterior semicircular canal-the posterior fossa distance (PPD), and peri-VA pneumatization.

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Article Synopsis
  • The vestibular aqueduct (VA) is important for inner ear function and is linked to Ménière's disease (MD); however, its visibility in MRI is less than in CT scans.
  • A study involving 100 unilateral MD patients used high-resolution CT and advanced MRI techniques to analyze VA characteristics and their visibility in imaging.
  • Results showed that VA was often not visible on MRI, while CT scans showed better visibility, with certain shapes of VA influencing the MRI visibility more than others.
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Objective: Anatomical variations of the inner ear may contribute to the development of Ménière's disease (MD), which is a complex inner ear disorder histopathologically characterized by idiopathic endolymphatic hydrops (ELH). Abnormalities of the vestibular aqueduct (VA) and the jugular bulb (JB) have been suggested as predisposing factors. Yet, few studies have investigated the correlation between JB abnormalities and VA variations as well as its clinical relevance in these patients.

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Objective: Sudden sensorineural hearing loss with vertigo (SHLV) and vestibular neuritis (VN) remain frequent causes of acute vestibular syndrome (AVS). The aim of study was to compare the results of video head impulse test (vHIT) in patients with SHLV and VN. The characteristics of high-frequency vestibule-ocular reflex (VOR) and the differences of the pathophysiological mechanisms underlying these two AVS were explored.

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Article Synopsis
  • The study focuses on diagnosing Ménière's disease (MD) by comparing audio-vestibular tests and MRI findings for detecting endolymphatic hydrops (ELH) in patients with unilateral MD.
  • It involved 70 patients who underwent advanced MRI scanning after receiving gadolinium, alongside various auditory and vestibular assessments.
  • Results showed that while MRI identified more cases of ELH than audio-vestibular tests, there was a weak correlation between the two methods, although some audio measurements did show significant relationships with the severity of hydrops.
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Objective: The relationship between vascular compression of the vestibulocochlear nerve and audio-vestibular symptoms remains controversial. We aimed to examine the radiological features of vascular loops signs in cerebellopontine angle (CPA) and internal auditory canal (IAC) in patients with unilateral Ménière's disease (MD).

Methods: One hundred and thirty-seven patients with unilateral definite MD and 69 control subjects (138 ears) were enrolled.

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Objective: We aimed to investigate the impact of the position, configuration and neurovascular contact of the anterior inferior cerebellar artery (AICA) in cerebellopontine angle (CPA) and internal auditory canal (IAC) on the clinical features of patients with unilateral idiopathic sudden sensorineural hearing loss (ISSNHL).

Methods: One hundred and thirty-six patients with unilateral ISSNHL were enrolled. All patients received detailed history inquiry and standard treatments.

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Benign paroxysmal positional vertigo (BPPV) is amongst the most common causes of episodic vestibular syndrome. It can be classified as idiopathic and secondary types according to the causative factors, and the underlying mechanism between idiopathic (i-BPPV) and secondary BPPV (s-BPPV) may differ. Idiopathic sudden sensorineural hearing loss (ISSNHL) has been considered as a common inner ear disease that precipitates s-BPPV.

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Article Synopsis
  • * Data was collected from 81 VM patients, 97 MD patients, and 50 control subjects, focusing on MRI measurements like the distance between the posterior semicircular canal and the posterior fossa (MRI-PP distance) and the visibility of the vestibular aqueduct (MRI-VA).
  • * Results indicated that MD patients had a shorter MRI-PP distance and worse MRI-VA visibility compared to VM patients, but overall, these measurements had low diagnostic value for differentiating the
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Endoplasmic reticulum (ER) homeostasis is regulated by ER-resident E3 ubiquitin ligase Hrd1, which has been implicated in inflammatory bowel disease (IBD). Ginsenoside Rb1 (GRb1) is the major ginsenoside in ginseng with multiple pharmacological activities. In this study we investigated the role of Hrd1 in IBD and its regulation by GRb1.

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