Surgical Treatment of Peripheral Vertigo and Vertiginous Diseases

Abstract

Although our understanding of the mechanisms of vertigo and pathophysiology of vertiginous disorders has increased, diagnosis and treatment of various vertiginous diseases is challenging. The objective for the treatment of a vertiginous disease is to eliminate the underlying pathology either with maneuvers or drugs. In vertiginous diseases, surgery is performed either to eliminate the underlying pathologic event or to create stability in the incoming vestibular signals. It is not always possible to treat the underlying disease. Therefore, surgery is usually performed for the relief of vertigo. There are various surgical approaches used to treat a variety of vertiginous diseases. Selection of the approach depends on the type of vertiginous disease. This review mainly focuses on the current status and outcome of the surgeries used in the treatment of a variety of vertiginous diseases.

Expression and clinical significance of Ki-67, oestrogen and progesterone receptors in acoustic neuroma

“…Acoustic neuroma, which is a benign and encapsulated tumour of Schwann cell origin, constitutes 80 per cent of all tumours of the posterior fossa 1 , 2 . Oestrogen receptors may be detected in some intracranial tumours like meningioma and neurofibroma as well as acoustic neuroma 3 – 5 .…”

Predictors of central vestibular compensation after surgery for vestibular schwannomas

“…The results of this study can be clinically used in patients with combined vestibular pathology (e.g. intractable Meniere disease after brain stroke) in which surgery is indicated, but central signs, which are usually present in patients after brain stroke, represent a contraindication to the surgery 19 . Compensation of vestibular loss is a complex process that includes central recalibration of vestibular reactivity and oculomotor functions, changes in postural strategy and important individually variable psychological factors 20 .…”

Combined Retrosigmoid Retrolabyrinthine Vestibular Nerve Section: Results of our Experience over 10 Years

“…VN is one of the most successful methods that can facilitate a symptomatic relief of vertigo in a variety of vertiginous diseases such as Ménière's disease, recurrent vestibulopathy, recurrent vestibular neuronitis, and disabling positional vertigo (5). Although the cause of disabling positional vertigo is usually a vascular cross compression or a loop of the anterior inferior cerebellar artery compressing the vestibular nerve, VN can be performed at the same time with neurovascular decompression.…”