Abstract
Objective: To describe the clinical features of patients with failed vestibular nerve section that have a response to anticonvulsant medication. Study Design: Retrospective case review. Setting: Ambulatory tertiary referral center. Patients: We report three patients who were afflicted with frequent brief spinning spells, or "quick spins," after vestibular neurectomy for Ménière's disease. Intervention: Treatment with anticonvulsants. Main Outcome Measure: Relief of vertigo. Results: All cases had an excellent therapeutic response to carbamazepine or oxcarbazepine, agents conventionally used for neuralgia, suggesting that these symptoms are caused by a hyperexcitable vestibular nerve. Conclusion: Treatment of neuralgia should be considered when the symptom of quick spins arises after vestibular neurectomy.
Original language | English (US) |
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Pages (from-to) | 82-85 |
Number of pages | 4 |
Journal | Otology and Neurotology |
Volume | 26 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2005 |
Keywords
- Anticonvulsant
- Nerve
- Quick spins
- Surgery
- Vestibular
ASJC Scopus subject areas
- Clinical Neurology
- Sensory Systems
- Otorhinolaryngology