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- Title
Drop Attack Treated by Microvascular Decompression of the Superior Vestibular Nerve.
- Authors
Kim, Sanghoon; Kong, Soo-Keun; Lee, Jae Meen; Oh, Se-Joon
- Abstract
We report a case of cochleovestibular neurovascular compressive syndrome (CVCS)-induced drop attack treated with microvascular decompression (MVD) of the superior vestibular nerve. This report discusses the merits of surgical intervention through a review of related literature. A 58-year-old woman was referred to our clinic with a chief complaint of intermittent, strong, right-sided tinnitus lasting for a few seconds immediately prior to drop attack. Magnetic resonance imaging (MRI) showed bilateral neurovascular contact between the anterior inferior cerebellar artery (AICA) and the vestibulocochlear nerve. Based on MRI findings, history of present illness, and response to anticonvulsants, CVCS was suspected, and surgical decompression on the right side was subsequently performed. The patient became asymptomatic immediately after the surgery, and the vestibular-evoked myogenic potentials were normalized. No recurrence was reported during a 1-year follow-up period.
- Subjects
DIAGNOSIS of ear diseases; VERTIGO; SYNCOPE; ACOUSTIC nerve diseases; EAR diseases; MAGNETIC resonance imaging; TINNITUS; BRAIN stem; HEARING levels; SURGICAL decompression; VESTIBULAR nerve; ANTICONVULSANTS; AUDITORY evoked response
- Publication
ENT: Ear, Nose & Throat Journal, 2024, Vol 103, Issue 3, pNP179
- ISSN
0145-5613
- Publication type
Article
- DOI
10.1177/01455613211043672