Chae Ricky, McDermott Michael, Muacevic Alexander, Adler John R, Sharon Jeffrey D
Otolaryngology - Head and Neck Surgery, University of California San Francisco, San Francisco, USA.
Neurosurgery, Miami Neuroscience Institute, Miami, USA.
Cureus. 2020 Jun 11;12(6):e8569. doi: 10.7759/cureus.8569.
Vestibular schwannoma (VS) is associated with dizziness and vertigo during all stages of treatment. This report describes a patient who presented with a one-year history of intermittent motion sickness, dizziness, headache, imbalance, and nausea. MRI showed a right-side VS in the cerebellopontine angle and internal auditory canal. The patient elected to undergo Gamma Knife radiosurgery for treatment. Within two to three months, she continued to experience recurring dizziness, vertigo, neck stiffness, and head pressure. She was referred for neurotology evaluation, which led to a diagnosis of vestibular migraine (VM). Her vestibular reflexes were intact. Subsequently, she was treated with diet modification and low-dose venlafaxine. She reported dramatically improved dizziness and vertigo symptoms at six-month follow-up. VM is a very common cause of dizziness that should always be included in the differential diagnosis, even in VS patients.
前庭神经鞘瘤（VS）在治疗的各个阶段都与头晕和眩晕有关。本报告描述了一名患者，其有一年间歇性晕动病、头晕、头痛、失衡和恶心的病史。磁共振成像（MRI）显示右侧小脑脑桥角和内耳道有前庭神经鞘瘤。该患者选择接受伽玛刀放射外科治疗。在两到三个月内，她持续出现反复的头晕、眩晕、颈部僵硬和头部压迫感。她被转诊进行神经耳科学评估，结果诊断为前庭性偏头痛（VM）。她的前庭反射完好。随后，她接受了饮食调整和低剂量文拉法辛治疗。在六个月的随访中，她报告头晕和眩晕症状有显著改善。前庭性偏头痛是头晕的一个非常常见的原因，即使在VS患者中，也应始终将其纳入鉴别诊断。
