Congenital absence of the cochlear nerve with an isolated cochlea.

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Presentation transcript:

Congenital absence of the cochlear nerve with an isolated cochlea. Congenital absence of the cochlear nerve with an isolated cochlea. Axial and oblique sagittal T2-weighted fast spin-echo MR images of a 5-year-old girl with profound unilateral hearing loss (patient C8).A, Image of the normal left side shows the normal contours of the cochlea and other labyrinthine structures.B, IAC is of normal size and contains four nerves of comparative size. Cochlear nerve lies anteroinferiorly (arrow).C, Right side shows a deformed contour of the IAC (black arrow). Low-signal-intensity bar separates the fundus of the IAC from the modiolus (white arrow), which was confirmed to be bony at CT. We describe this as an isolated cochlea. The arrowhead indicates a singular canal containing the nerve of the posterior semicircular canal.D, Oblique sagittal image of the distal IAC shows a solitary nerve within the superior aspect of the small, deformed canal (arrow). The cochlear nerve is absent in this patient with normal facial nerve function. Christine M. Glastonbury et al. AJNR Am J Neuroradiol 2002;23:635-643 ©2002 by American Society of Neuroradiology