| Vestibular Neurectomy and Microvascular Decompression of the Facial Nerve Using the Retrosigmoid Approach in a Patient with Intractable Meniere's Disease and Hemifacial Spasm |
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Ji Hee Kim, Jun Hyong Ahn, Jae Keun Oh, In Bok Chang, Joon Ho Song |
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Department of Neurosurgery, Hallym University Sacred Heart Hospital, Anyang, Korea |
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| Abstract |
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Meniere's disease is a disorder characterized by episodic vertigo, tinnitus, and sensorineural hearing loss. These symptoms are often resistant to pharmacotherapy, and surgical treatment is required in many cases for achieving symptom control. Typically unrelated to Meniere's disease, hemifacial spasm is caused by vascular compression of the facial nerve root exit zone, and microvascular decompression is known to be an effective treatment option. We report a case of a 50-year-old woman who was diagnosed with left-sided Meniere's disease with accompanying ipsilateral hemifacial spasm and treated with a simultaneous vestibular neurectomy and microvascular decompression of the facial nerve using the retrosigmoid approach. The patient experienced alleviation of recurrent vertigo and hemifacial spasm over a 2-year follow-up period. |
| Key Words:
Hemifacial spasm, Meniere's disease, Microvascular decompression, Vestibular neurectomy, Retrosigmoid approach, Vertigo. |
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