cochleovestibular neurovascular compressive syndrome (CVCS)-induced drop attack

xlomafota13 shared this article with you from Inoreader Drop Attack Treated by Microvascular Decompression of the Superior Vestibular Nerve Via ear nose throat Ear Nose Throat J. 2021 Sep 25:1455613211043672. doi: 10.1177/01455613211043672. Online ahead of print. ABSTRACT We report a case of cochleovestibular neurovascular compressive syndrome (CVCS)-induced drop attack treated with microvascular decompression (MVD) of the superior vestibular nerve. This report discusses the merits of surgical intervention through a review of related literature. A 58-year-old woman was referred to our clinic with a chief complaint of intermittent, strong, right-sided tinnitus lasting for a few seconds immediately prior to drop attack. Magnetic resonance imaging (MRI) showed bilateral neurovascular contact between the anterior inferior cerebellar artery (AICA) and the vestibulocochlear nerve. Based on MRI findings, history of present illness, and response to anticonvulsants, CVCS was suspected, and surgical decompression on the right side was subsequently performed. The patient became asymptomatic immediately after the surgery, and the vestibular-evoked myogenic potentials were normalized. No recurrence was reported during a 1-year follow-up period. PMID:34565213 | DOI:10.1177/01455613211043672 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.