難治性めまいの治療
前庭神経切断術術後の経過
2000 年 59 巻 1 号 p. 38-44
詳細
2000 年 59 巻 1 号 p. 38-44
Paramedian suboccipital transmeatal vestibular neurectomy was performed in 21 cases of intractable vertigo. Nineteen patients had Ménière's disease and two had inner ear disease. The twenty-one patients consisted of 15 males and 6 females with ages ranging from 21 to 61 years old (mean age, 45.9) at the time of operation.
Vertiginous attacks ceased in all patients following surgery. Postoperative hearing improved in 5 patients (24%), did not change in 9 (43%), and worsened in 7 (32%).
Sixteen of the 21 patients responded to a questionnaire regarding the pre-and postoperative course. According to the results, the operations satisfied all patients except one, in whom postoperative headache continued.
Vestibular neurectomy is the treatment of choice to accomplish complete relief from uncontrollable vertigo.
