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Year : 2012  |  Volume : 60  |  Issue : 5  |  Page : 495--497

Microvascular decompression of cochleovestibular nerve in patients with tinnitus and vertigo

1 Department of Neurosurgery, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences, Beijing, People's Republic of China
2 Department of Neurosurgery, China-Japan Friendship Hospital, Beijing, People's Republic of China

Correspondence Address:
Jianguo Zhang
Department of Neurosurgery, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences, 6 Tiantan Xili, Chongwen District, Beijing 100050, People's Republic of China

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Source of Support: There are no external funding sources for this paper,, Conflict of Interest: None

DOI: 10.4103/0028-3886.103194

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Aim: The aim of this study was to investigate the patient selection, indications for operation, surgical methods and effects of microvascular decompression (MVD) for treatment of intractable and incapacitating tinnitus and vertigo. Materials and Methods: A total of 35 patients were recruited from January 2009 to June 2010 for the MVD surgery. Results: Arterial compression of cochleovestibular nerve was found in all the 35 patients. The immediate effect of MVD was observed in 22 patients with tinnitus and 10 patients with vertigo. The follow-up data for the effect of MVD showed complete resolution of tinnitus in 14 patients and vertigo in 6 patients. Conclusions: Vascular compression of cochleovestibular nerve in cerebellopontine angle may be one of the causes of intractable and incapacitating tinnitus and/or vertigo. MVD may be a safe and effective surgical procedure for treatment of severe tinnitus and/or vertigo in patients.


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Online since 20th March '04
Published by Wolters Kluwer - Medknow