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Incomplete Partition Type 2 – Summary

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We just saw an example of incomplete partitian type

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one where we really didn't have any evidence of a

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mediolis in the cochlea, and it looked kind of bulbous.

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And in that example, we saw a cystic cochlear

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vestibular vestibule structure in

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incomplete partitian type two.

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We have a better development of the mediolis,

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but it has incomplete spiralization of the cochlea.

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And that is one of the findings that we

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typically call Mondini malformation.

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Now the eponym Mondini malformation has been fused

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into the incomplete partitian type two.

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Here is an example from Traboulsi's article in

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Neurographics in which she identifies the abnormal

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spiralization of the cochlea. We have a basal turn,

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but the middle and apical turns are not developed, and

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we don't see the mediolis associated with it.

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Here again, basal turn of cochlea.

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And then we have this blob for the second

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and third turns of the cochlea.

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And this is associated with enlargement

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of the vestibular aqueducts.

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So these are the vestibular aqueducts.

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As you heard previously,

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I said that we usually compare the caliber of the

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vestibular aqueduct with the caliber

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of the semicircular canals.

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And when it is larger than the caliber

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of the semicircular canals,

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we consider it enlarged.

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You can use one and a half millimeters as another of

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the guides to an enlarged vestibular aqueduct.

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Here is another example of incomplete partitian type

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two associated with enlarged vestibular aqueduct.

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This dilated structure here,

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here's one of our semicircular canals, and you can

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see that this is a portion of the cochlea.

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We'd have to scroll down, but in this case,

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the patient did have cochlear dysplasia as well.

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Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Temporal bone

Neuroradiology

Head and Neck

Congenital

CT

Brain

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