| Transmastoid labyrinthectomy for disabling vertigo in a patient with internal auditory canal pathology. | |
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MedLine Citation:
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PMID: 21131882 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: Document the use of transmastoid labyrinthectomy to treat disabling vertigo secondary to a lesion in the internal auditory canal. PATIENT: A 69-year-old man with nonserviceable left hearing experienced disabling attacks of vertigo refractory to medical measures. Magnetic resonance imaging revealed a small left intracanalicular lesion with an irregular configuration and modest enhancement, suggesting either an unusual acoustic neuroma or a cavernoma. Tumor size remained stable on serial imaging, and the patient declined microsurgical resection, stereotactic radiation, or intratympanic gentamicin therapy. INTERVENTION: Transmastoid labyrinthectomy followed by a customized vestibular rehabilitation program. MAIN OUTCOME MEASURE: Comparison of patient symptoms preoperatively and at 5 and 8 months after surgery. RESULTS: Complete relief of vertigo was achieved, but the patient has moderate imbalance postoperatively. CONCLUSION: Transmastoid labyrinthectomy alone may be a viable treatment option in patients with an internal auditory canal neoplasm causing disabling attacks of vertigo. |
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Authors:
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Katherine D Heidenreich; Garrett R Griffin; Mark B Lorenz; Steven A Telian |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology Volume: 32 ISSN: 1537-4505 ISO Abbreviation: Otol. Neurotol. Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100961504 Medline TA: Otol Neurotol Country: United States |
Other Details:
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Languages: eng Pagination: 122-4 Citation Subset: IM |
Affiliation:
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Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109-5312, USA. kheidenr@med.umich.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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