Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia
Objectives Vertebrobasilar dolichoectasia (VBD), an elongation and distension of vertebrobasilar artery, may present with cranial nerve symptoms due to nerve root compression. The objectives of this study are to summarize vestibulocochlear manifestations in subjects with VBD through a case series an...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Society of Otorhinolaryngology-Head and Neck Surgery
2020-05-01
|
Series: | Clinical and Experimental Otorhinolaryngology |
Subjects: | |
Online Access: | http://www.e-ceo.org/upload/pdf/ceo-2019-00780.pdf |
id |
doaj-9c3da60558ae447ebef93238daa18cd5 |
---|---|
record_format |
Article |
spelling |
doaj-9c3da60558ae447ebef93238daa18cd52020-11-25T03:25:46ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202020-05-0113212313210.21053/ceo.2019.00780659Vestibulocochlear Symptoms Caused by Vertebrobasilar DolichoectasiaGene Huh0Yun Jung Bae1Hyun Jun Woo2Jung Hyun Park3Ja-Won Koo4Jae-Jin Song5 Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea Department of Radiology, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaObjectives Vertebrobasilar dolichoectasia (VBD), an elongation and distension of vertebrobasilar artery, may present with cranial nerve symptoms due to nerve root compression. The objectives of this study are to summarize vestibulocochlear manifestations in subjects with VBD through a case series and to discuss the needs of thorough oto-neurotologic evaluation in VBD subjects before selecting treatment modalities. Methods Four VBD subjects with vestibulocochlear manifestations were reviewed retrospectively. VBD was confirmed by either brain or internal auditory canal magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA). Patient information, medical history, MRI/MRA findings, and audiometry or vestibular function tests were reviewed according to patient’s specific symptom. Results Of the four subjects, three presented with ipsilesional sensorineural hearing loss (SNHL), three with paroxysmal recurrent vertigo, and two with typewriter tinnitus. The MRI/MRA of the four subjects revealed unilateral VBD with neurovascular compression of cisternal segment or the brainstem causing displacement, angulation, or deformity of the cranial nerve VII or VIII that corresponded to the symptoms. Conclusion Vestibulocochlear symptoms such as SNHL, recurrent paroxysmal vertigo, or typewriter tinnitus can be precipitated from a neurovascular compression of the vestibulocochlear nerve by VBD. Because proper medical or surgical treatments may stop the disease progression or improve audio-vestibular symptoms in subjects with VBD, a high index of suspicion and meticulous radiologic evaluation are needed when vestibulocochlear symptoms are not otherwise explainable, and if VBD is confirmed to cause audiovestibular manifestation, a thorough oto-neurotologic evaluation should be performed before initial treatment.http://www.e-ceo.org/upload/pdf/ceo-2019-00780.pdfsensorineural hearing losshemifacial spasmmicrovascular decompression |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gene Huh Yun Jung Bae Hyun Jun Woo Jung Hyun Park Ja-Won Koo Jae-Jin Song |
spellingShingle |
Gene Huh Yun Jung Bae Hyun Jun Woo Jung Hyun Park Ja-Won Koo Jae-Jin Song Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia Clinical and Experimental Otorhinolaryngology sensorineural hearing loss hemifacial spasm microvascular decompression |
author_facet |
Gene Huh Yun Jung Bae Hyun Jun Woo Jung Hyun Park Ja-Won Koo Jae-Jin Song |
author_sort |
Gene Huh |
title |
Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia |
title_short |
Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia |
title_full |
Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia |
title_fullStr |
Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia |
title_full_unstemmed |
Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia |
title_sort |
vestibulocochlear symptoms caused by vertebrobasilar dolichoectasia |
publisher |
Korean Society of Otorhinolaryngology-Head and Neck Surgery |
series |
Clinical and Experimental Otorhinolaryngology |
issn |
1976-8710 2005-0720 |
publishDate |
2020-05-01 |
description |
Objectives Vertebrobasilar dolichoectasia (VBD), an elongation and distension of vertebrobasilar artery, may present with cranial nerve symptoms due to nerve root compression. The objectives of this study are to summarize vestibulocochlear manifestations in subjects with VBD through a case series and to discuss the needs of thorough oto-neurotologic evaluation in VBD subjects before selecting treatment modalities. Methods Four VBD subjects with vestibulocochlear manifestations were reviewed retrospectively. VBD was confirmed by either brain or internal auditory canal magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA). Patient information, medical history, MRI/MRA findings, and audiometry or vestibular function tests were reviewed according to patient’s specific symptom. Results Of the four subjects, three presented with ipsilesional sensorineural hearing loss (SNHL), three with paroxysmal recurrent vertigo, and two with typewriter tinnitus. The MRI/MRA of the four subjects revealed unilateral VBD with neurovascular compression of cisternal segment or the brainstem causing displacement, angulation, or deformity of the cranial nerve VII or VIII that corresponded to the symptoms. Conclusion Vestibulocochlear symptoms such as SNHL, recurrent paroxysmal vertigo, or typewriter tinnitus can be precipitated from a neurovascular compression of the vestibulocochlear nerve by VBD. Because proper medical or surgical treatments may stop the disease progression or improve audio-vestibular symptoms in subjects with VBD, a high index of suspicion and meticulous radiologic evaluation are needed when vestibulocochlear symptoms are not otherwise explainable, and if VBD is confirmed to cause audiovestibular manifestation, a thorough oto-neurotologic evaluation should be performed before initial treatment. |
topic |
sensorineural hearing loss hemifacial spasm microvascular decompression |
url |
http://www.e-ceo.org/upload/pdf/ceo-2019-00780.pdf |
work_keys_str_mv |
AT genehuh vestibulocochlearsymptomscausedbyvertebrobasilardolichoectasia AT yunjungbae vestibulocochlearsymptomscausedbyvertebrobasilardolichoectasia AT hyunjunwoo vestibulocochlearsymptomscausedbyvertebrobasilardolichoectasia AT junghyunpark vestibulocochlearsymptomscausedbyvertebrobasilardolichoectasia AT jawonkoo vestibulocochlearsymptomscausedbyvertebrobasilardolichoectasia AT jaejinsong vestibulocochlearsymptomscausedbyvertebrobasilardolichoectasia |
_version_ |
1724595935950929920 |