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CASE REPORT
Year : 2017  |  Volume : 12  |  Issue : 4  |  Page : 735-737

Redo microvascular decompression in a patient of resistant cochleovestibular nerve compression syndrome


Department of Neurosurgery, G B Pant Institute of Postgraduate Medical Education and Research Institute, New Delhi, India

Correspondence Address:
Ishu Bishnoi
B-48, First Floor, New Rajinder Nagar, New Delhi - 110 060
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_48_15

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Cochlea-vestibular nerve compression syndrome (CVCS) may present as recurrent attacks of vertigo, dizziness, imbalance, etc. Those patients who do not respond to medical management, are usually managed by “microvascular decompression (MVD) of cochlea-vestibular nerve.” The success rate of MVD is not 100% and few patients present with the recurrence of symptoms. We are reporting management of one such resistant case of CVCS. A 40-year-old female patient who was a known case of CVCS, was managed by medical and surgical (MVD) management. She had no relief of symptoms. We did redo MVD of cochlea-vestibular nerve after full evaluation of symptomatology. Patient had complete relief in her symptoms. In failed MVD cases, redo MVD can be performed if patient is still having e/o nerve compression, adhesions on magnetic resonance imaging.


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