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If
medical treatment fails in controlling the vertigo attacks in a patient
with peripheral vertigo, the patient should be managed surgically. We
performed posterior fossa vestibular neurectomy for elimination of the
peripheral vertigo in patients who did not respond to medical treatment.
Postoperative vertigo control and hearing preservation rates in patients
with less than 2 years follow up were 100% and 95.7%, respectively. In
patients with more than 2 years follow up, these rates were 97.2% and
88.9%, respectively. The patients did not face any severe complication
after the operation. Only one patient developed total hearing loss,
while two had abdominal hematoma and 3 had cerebrospinal fluid leak.
In
conclusion, posterior fossa vestibular neurectomy is an effective
surgical procedure in vertigo elimination. It is an easier procedure
with less complication rates when compared to other surgical vestibular
neurectomy procedures.
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