The outcome of vestibular nerve section for intractable vertigo: the patient's point of view

To document the outcome of vestibular nerve section from the patient's point of view we reviewed 102 patients who had undergone vestibular nerve section 1 to 10 years after operation. Only 3 patients had experienced further vertigo attacks: 2 of these were cured by a further, this time translab...

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Bibliographic Details
Published inThe Laryngoscope Vol. 106; no. 12 Pt 1; p. 1553
Main Authors Reid, C B, Eisenberg, R, Halmagyi, G M, Fagan, P A
Format Journal Article
LanguageEnglish
Published United States 01.12.1996
Subjects
Female
Humans
Male
Meniere Disease - surgery
Middle Aged
Patient Satisfaction
Retrospective Studies
Treatment Outcome
Vertigo - etiology
Vertigo - surgery
Vestibular Nerve - surgery
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Summary:To document the outcome of vestibular nerve section from the patient's point of view we reviewed 102 patients who had undergone vestibular nerve section 1 to 10 years after operation. Only 3 patients had experienced further vertigo attacks: 2 of these were cured by a further, this time translabyrinthine vestibular nerve section; 1 patient developed multiple sclerosis. In contrast, about 50% of patients developed some subjective problem with balance while standing or walking; in 15% it was present all the time and of moderate severity. Despite this, over 85% of patients reported that they felt much better or back to normal after the operation and were satisfied with the outcome. The development and application of objective preoperative measures of vestibular and, in particular, vestibulospinal function might improve patient selection for vestibular nerve section and thus reduce the number of dissatisfied patients.
ISSN:0023-852X
DOI:10.1097/00005537-199612000-00022