Recurrent Vertigo in Vestibular Schwannoma Responsive to Oxcarbazepine
- Author:
Jae Hwan CHOI
1
;
Min Ji KIM
;
Kwang Dong CHOI
;
Dae Soo JUNG
Author Information
1. Department of Neurology, Pusan National University Yangsan Hospital, Yangsan, Korea.
- Publication Type:Case Report
- Keywords:
Acoustic neuroma;
Episodic vertigo;
Oxcarbazepine
- MeSH:
Carbamazepine;
Dizziness;
Female;
Hearing Loss, Unilateral;
Humans;
Neuroma, Acoustic;
Neurons;
Quality of Life;
Schwann Cells;
Vertigo;
Vestibular Nerve;
Vestibulocochlear Nerve
- From:Journal of the Korean Balance Society
2013;12(2):58-61
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vestibular schwannoma (VS) are benign neoplasms that arise from Schwann cells of the eighth cranial nerve. Although progressive unilateral hearing loss with dizziness or disequilibrium provides a high suspicion index of VS, vertigo is the symptom causing the most pronounced negative effect on quality of life in patients with VS. We report a 55-year-old woman with recurrent paroxysmal vertigo and hyperventilation-induced nystagmus due to VS, which improved by oxcarbazepine treatment. We suggest that episodic vertigo in VS may be ascribed to the ectopic paroxysmal neuronal discharge from the partially demyelinated vestibular nerve due to tumor compression.