Document Detail


Posterior fossa vestibular nerve section for the management of peripheral vertigo.
MedLine Citation:
PMID:  10392296     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with vertigo resistant to conservative treatment require surgical management. Between March 1991 and August 1996, vestibular nerve sections were performed in 108 patients with peripheral vertigo not responding to conservative treatment. The diagnoses were classic Ménière's disease in 96 patients and recurrent vestibulopathy in 12 patients. Combined retrosigmoid retrolabyrinthine (n = 106) and retrolabyrinthine (n = 2) approaches were used. Patients were grouped according to follow-ups of less than 2 years and more than 2 years. In the former group (n = 49), hearing preservation and vertigo control were achieved in 93.9% and 100%, respectively. In the latter group (n = 59) the rates were 89.8% and 96.6%, respectively. Overall complications were uncommon. Three patients had cerebrospinal fluid leakage and one had total hearing loss. According to our results, posterior fossa vestibular nerve section was found to be an effective treatment for the management of patients with intractable vertigo.
Authors:
N Göksu; Y Bayazit; L Beder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  256     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  1999  
Date Detail:
Created Date:  1999-09-30     Completed Date:  1999-09-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  230-2     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology, Gazi University Faculty of Medicine, Besevler, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Audiometry, Pure-Tone
Caloric Tests
Cranial Fossa, Posterior / surgery*
Cranial Nerve Diseases / complications*,  physiopathology
Female
Follow-Up Studies
Hearing / physiology
Humans
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Speech Reception Threshold Test
Treatment Outcome
Vertigo / diagnosis,  etiology*,  surgery*
Vestibular Nerve / physiopathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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