Delayed quick spins after vestibular nerve section respond to anticonvulsant therapy

In Soo Moon, Timothy C Hain*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

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 languageEnglish (US)
Pages (from-to)82-85
Number of pages4
JournalOtology and Neurotology
Volume26
Issue number1
DOIs
StatePublished - Jan 1 2005

Keywords

  • Anticonvulsant
  • Nerve
  • Quick spins
  • Surgery
  • Vestibular

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

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