Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2005
Delayed quick spins after vestibular nerve section respond to anticonvulsant therapy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Moon In Soo, Hain Timothy C
Аннотация
OBJECTIVE: To describe the clinical features of patients with failed vestibular nerve section that have a response to anticonvulsant medication.
STUDY DESIGN: Retrospective case review.
SETTING: Ambulatory tertiary referral center.
PATIENTS: We report three patients who were afflicted with frequent brief spinning spells, or "quick spins," after vestibular neurectomy for Meniere's disease.
INTERVENTION: Treatment with anticonvulsants.
MAIN OUTCOME MEASURE: Relief of vertigo.
RESULTS: All cases had an excellent therapeutic response to carbamazepine or oxcarbazepine, agents conventionally used for neuralgia, suggesting that these symptoms are caused by a hyperexcitable vestibular nerve.
CONCLUSION: Treatment of neuralgia should be considered when the symptom of quick spins arises after vestibular neurectomy.
STUDY DESIGN: Retrospective case review.
SETTING: Ambulatory tertiary referral center.
PATIENTS: We report three patients who were afflicted with frequent brief spinning spells, or "quick spins," after vestibular neurectomy for Meniere's disease.
INTERVENTION: Treatment with anticonvulsants.
MAIN OUTCOME MEASURE: Relief of vertigo.
RESULTS: All cases had an excellent therapeutic response to carbamazepine or oxcarbazepine, agents conventionally used for neuralgia, suggesting that these symptoms are caused by a hyperexcitable vestibular nerve.
CONCLUSION: Treatment of neuralgia should be considered when the symptom of quick spins arises after vestibular neurectomy.