Clinical observation of keyhole neurovascular decompression on diagnosis and treatment of vestibular paroxysmia
10.16066/j.1672-7002.2015.11.010
- VernacularTitle:锁孔入路颅神经血管减压术诊治前庭阵发症的临床观察
- Author:
Fang LIU
;
Chengzhong WEI
;
Luansen XU
;
Weining HUANG
- Publication Type:Journal Article
- Keywords:
Vertigo;
Vestibulocochlear Nerve;
Cranial Nerves;
Anesthesia,Local;
vestibular paroxysmia;
neurovascular decompression
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2015;(11):575-577
- CountryChina
- Language:Chinese
-
Abstract:
[ABSTRACT]OBJECTIVETo evaluate the diagnostic value and curative effect of keyhole neurovascular decompression with local anesthesia for vestibular paroxysmia.METHODSOf 40 patients with trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia, 8 of them combined with vestibular paroxysmia underwent keyhole neurovascular decompression under local anesthesia to explore the vascular compression of acoustic nerve root and have the neurovascular decompression. The evaluation of the vertigo after operation was performed with symptom report card. The patients were followed-up for 36 to 61 months. RESULTSThe vessels compressing the root zone of the vestibular nerve were found in 8 patients with vestibular paroxysmia, of whom 7 patients had the vascular compression vertigo induced during operation and the vertigo was disappeared after operation, moreover, one patient had no vascular compression vertigo induced during operation and the vertigo was not changed after operation. With the average follow-up of 57 months, of 8 patients with vestibular paroxysmia, 7 patients had no recurrence of the vertigo, and the effective control rate was 87.5%.CONCLUSION Local anesthesia keyhole neurovascular decompression was not only an effective way for treating vestibular paroxysmia and controlling the vertigo, but also had certain clinical significance in the diagnosis of vestibular paroxysmia.
