JOURNAL ARTICLE
REVIEW

An anatomic variant of the anterior inferior cerebellar artery in a patient with Ménière's disease

P Scoleri, S A Widner, S P Cass
Otology & Neurotology 2001, 22 (4): 519-25
11449111

OBJECTIVE: To describe an anatomic variant of the anterior inferior cerebellar artery in a patient with Ménière's disease.

STUDY DESIGN: Retrospective case review and review of the literature.

SETTING: Tertiary referral clinic.

INTERVENTION: Vestibular nerve section and microvascular decompression.

MAIN OUTCOME MEASURES: Audiometric testing and control of vertigo.

RESULTS: The eighth nerve was identified via a retromastoid approach. The anterior inferior cerebellar artery was observed bisecting the eighth nerve. The vestibular nerve was sectioned, and microvascular decompression was performed on the cochlear division. At last follow-up, the patient had not experienced any vertiginous attacks but was observed to have progressive hearing loss.

CONCLUSIONS: The course of the anterior inferior cerebellar artery is highly variable and difficult to predict. Knowing the potential paths is a necessity in performing posterior fossa surgery. Although the patient's vertigo was controlled by the vestibular nerve section, microvascular decompression of the cochlear nerve did not result in hearing improvement or stabilization. This case report does not support a benefit of microvascular decompression in Méniére's disease. Vestibular nerve section remains the authors' treatment of choice for controlling disabling vertigo caused by Ménière's disease.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read
11449111
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"