{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:47:38Z","timestamp":1791780458174,"version":"4.3.4"},"reference-count":72,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100015825","name":"Korea University Anam Hospital","doi-asserted-by":"publisher","award":["K2613001"],"award-info":[{"award-number":["K2613001"]}],"id":[{"id":"10.13039\/501100015825","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015825","name":"Korea University Anam Hospital","doi-asserted-by":"publisher","award":["O2514421"],"award-info":[{"award-number":["O2514421"]}],"id":[{"id":"10.13039\/501100015825","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014188","name":"Ministry of Science and ICT, South Korea","doi-asserted-by":"publisher","award":["RS\u20102025\u201000515755"],"award-info":[{"award-number":["RS\u20102025\u201000515755"]}],"id":[{"id":"10.13039\/501100014188","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Although MRI can aid in detecting idiopathic acute unilateral audiovestibulopathy (iAUAV), the relationship between imaging and neurotologic findings remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed the medical records of patients diagnosed with iAUAV at a tertiary hospital in South Korea between March 2018 and September 2025. Neurotologic and imaging data on heavily T2\u2010weighted 3D fluid\u2010attenuated inversion recovery (FLAIR) sequences were included for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010four patients with iAUAV were included in the analysis. MRI\u2010positivity was found in 44 patients (52%), with high signal intensities in the vestibule (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931), horizontal (HC,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927), posterior (PC,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924), and anterior canals (AC,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922), as well as basal (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915), apical (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913), and middle turns of the cochlea (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910). Multivariable logistic regression analysis showed that MRI positivity was negatively associated with vestibulo\u2010ocular reflex (VOR) gain for the PC (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028). The VOR gains for the HC and PC were negatively correlated with the normalized signal intensity ratios of the vestibule (\n                      <jats:italic>q<\/jats:italic>\n                      \u2009=\u20090.021) and each semicircular canal (\n                      <jats:italic>q<\/jats:italic>\n                      \u2009=\u20090.025).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>52% of patients with iAUAV showed positivity on precontrast 3D\u2010FLAIR images, showing a strong association with vestibular deficits in the PC. The observed correlation between MRI and neurotologic findings may facilitate the diagnosis and differentiation of iAUAV and provide insight into its underlying pathophysiology as a frequent cause of acute audiovestibulopathy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70989","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:36:33Z","timestamp":1791779793000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neurotologic and\n                    <scp>MRI<\/scp>\n                    Correlates of Idiopathic Acute Unilateral Audiovestibulopathy"],"prefix":"10.1002","author":[{"given":"Keun\u2010Tae","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Neurology Korea University Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arim","family":"Pak","sequence":"additional","affiliation":[{"name":"Department of Radiology Anam Hospital, Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jueun","family":"Kim","sequence":"additional","affiliation":[{"name":"Neurotology and Neuro\u2010Ophthalmology Laboratory, Korea University Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8660-7759","authenticated-orcid":false,"given":"Sun\u2010Uk","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology Korea University Medical Center  Seoul South Korea"},{"name":"Neurotology and Neuro\u2010Ophthalmology Laboratory, Korea University Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euyhyun","family":"Park","sequence":"additional","affiliation":[{"name":"Neurotology and Neuro\u2010Ophthalmology Laboratory, Korea University Medical Center  Seoul South Korea"},{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery Korea University Medical Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moon\u2010Jung","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Radiology and Advanced Medical Imaging Institute Korea University Anam Hospital, Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9462-5885","authenticated-orcid":false,"given":"Byungjun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology Anam Hospital, Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1508-2024","authenticated-orcid":false,"given":"Ji\u2010Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital  Seongnam South Korea"},{"name":"Department of Neurology Seoul National University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1056\/NEJMcp021154","article-title":"Vestibular Neuritis","volume":"348","author":"Baloh R. 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