Vestibular function outcomes after vestibular neurectomy in Meniere disease: Can vestibular neurectomy provide complete vestibular deafferentation?

Lévêque, M.; Seidermann, Laurent; Tran, Huan; Langagne, T.; Ulmer, E; Chays, A.

doi:10.1016/j.anl.2009.06.006

Cited by 19 publications

(11 citation statements)

References 16 publications

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“…Overall, the efficacy of RLVNS (i.e., complete resolution of episodic vertigo) in our series was 93%; this is in line with rates reported in the literature 10, 15,17,18 (see ►Table 2). The patients who had imbalance after surgery experienced improvement in their disequilibrium symptoms after completing outpatient vestibular physical therapy.…”

Section: Discussionsupporting

confidence: 91%

Vestibular Neurectomy for Intractable Vertigo: Case Series and Evaluation of Role of Endoscopic Assistance in Retrolabyrinthine Craniotomy

2018

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Objective This study evaluates the utility of endoscopy for retrolabyrinthine vestibular nerve section (RLVNS). Design/Setting This is a retrospective review for RLVNSs by the senior author. The endoscope's utility was assessed and assigned a grade based on operative findings. Participants/Main Outcome Measures Fifteen patients (eight males and seven females; 53 and 47%, respectively) were identified with mean age 56.7 years. Indications included Ménière's disease (MD) in 12 of 15 patients (80%), uncompensated vestibular neuritis in 2 patients (13%), and other vestibular neuropathy in 1 patient (7%). Vertigo resolved in 14 of 15 patients (93%). Complications included decreased hearing in two patients (13%) and deep venous thrombosis in one patient (7%). There were no facial nerve complications or mortalities. Results Sectioning vestibular division of the vestibular–cochlear nerve was achieved without perceived benefit of endoscopy in the 80% of cases (grade 0, n = 12). Endoscopy was helpful in patients with a small mastoid (grade 1, n = 2, 13.3%), and deemed necessary where the flocculus of the cerebellum was adherent to the eighth nerve arachnoid at the porus acusticus (grade 2, n = 1, 6.7%). Conclusion RLVNS is a safe and efficacious procedure for the treatment of vertigo; the surgical endoscope may be a useful adjunct in selected cases. Patients with MD may expect the greatest benefit from surgery.

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Section: Discussionsupporting

confidence: 91%

Vestibular Neurectomy for Intractable Vertigo: Case Series and Evaluation of Role of Endoscopic Assistance in Retrolabyrinthine Craniotomy

2018

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“…It measures the response of each of the six semicircular canals compared to its normal reactivity after a short fast passive head movement (22Y24). The normal functionality of each semicircular canal is graphically expressed as a green circle and the abnormal findings as red circles (22,23,25). The normal functionality of each semicircular canal is graphically expressed as a green circle and the abnormal findings as red circles (22,23,25).…”

Section: Methodsmentioning

confidence: 99%

Retinitis Pigmentosa

Magliulo

Iannella²,

Gagliardi³

et al. 2015

Otology &Amp; Neurotology

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“…The responses of each of the six semicircular canals allow to calculate the VOR deficit for each semicircular canal. A difference of C40 % was considered abnormal and graphically expressed by the system software as a red circle (normal value: green circle) [3,10,11]. It proved to be effective for identifying peripheral vestibular deficits even in patients with acute vestibular neuritis.…”

Section: Methodsmentioning

confidence: 99%

A 1-year follow-up study with C-VEMPs, O-VEMPs and video head impulse testing in vestibular neuritis

Magliulo

Iannella

Gagliardi

et al. 2014

Eur Arch Otorhinolaryngol

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The aim of this paper was to evaluate prospectively, in a group of patients affected by VN, a diagnostic protocol employing C-VEMPs, O-VEMPs and vHIT together. The diagnosis of vestibular neurolabyrinthitis was based on the clinical history, absence of associated auditory or neurological symptoms, and a neuro-otological examination with an evaluation of lateral semicircular canal function using the Fitzgerald-Hallpike caloric vestibular test and ice test. Our series revealed an incidence of 55% of superior and inferior vestibular neurolabyrinthitis, 40% of superior vestibular neurolabyrinthitis and 5% of inferior vestibular neurolabyrinthitis. These data, however, comprised different degrees of vestibular involvement considering the evaluation of each single vestibular end-organ with potential different prognosis. Four patients had only deficits of the horizontal and superior semicircular canals or their ampullary nerves. The implementation of C-VEMPs, O-VEMPs and vHIT in a vestibular diagnostic protocol has made possible to observe patients with ampullary VN, unidentifiable with other types of vestibular exams. The effect of age seems to have some impact on the recovery. When recovery firstly involves the utricular and saccular nerves and subsequently the ampullary nerves, it may be reasonable to expect a more favorable and successful outcome.

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Vestibular function outcomes after vestibular neurectomy in Meniere disease: Can vestibular neurectomy provide complete vestibular deafferentation?

Cited by 19 publications

References 16 publications

Vestibular Neurectomy for Intractable Vertigo: Case Series and Evaluation of Role of Endoscopic Assistance in Retrolabyrinthine Craniotomy

Vestibular Neurectomy for Intractable Vertigo: Case Series and Evaluation of Role of Endoscopic Assistance in Retrolabyrinthine Craniotomy

Retinitis Pigmentosa

A 1-year follow-up study with C-VEMPs, O-VEMPs and video head impulse testing in vestibular neuritis

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