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CC BY-NC-ND 4.0 · Asian J Neurosurg 2017; 12(04): 735-737
DOI: 10.4103/ajns.AJNS_48_15
Case Report

Redo microvascular decompression in a patient of resistant cochleovestibular nerve compression syndrome

Ishu Bishnoi
Department of Neurosurgery, G B Pant Institute of Postgraduate Medical Education and Research Institute, New Delhi
,
Tushit Mewada
Department of Neurosurgery, G B Pant Institute of Postgraduate Medical Education and Research Institute, New Delhi
,
Daljit Singh
Department of Neurosurgery, G B Pant Institute of Postgraduate Medical Education and Research Institute, New Delhi
,
Hukum Singh
Department of Neurosurgery, G B Pant Institute of Postgraduate Medical Education and Research Institute, New Delhi
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Cochlea-vestibular nerve compression syndrome (CVCS) may present as recurrent attacks of vertigo, dizziness, imbalance, etc. Those patients who do not respond to medical management, are usually managed by “microvascular decompression (MVD) of cochlea-vestibular nerve.” The success rate of MVD is not 100% and few patients present with the recurrence of symptoms. We are reporting management of one such resistant case of CVCS. A 40-year-old female patient who was a known case of CVCS, was managed by medical and surgical (MVD) management. She had no relief of symptoms. We did redo MVD of cochlea-vestibular nerve after full evaluation of symptomatology. Patient had complete relief in her symptoms. In failed MVD cases, redo MVD can be performed if patient is still having e/o nerve compression, adhesions on magnetic resonance imaging.

Key-words:

Anterior inferior cerebellar artery - cochlea-vestibular nerve compression syndrome - microvascular decompression - Teflon - vertigo


Publication History

Article published online:
20 September 2022

© 2017. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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