Zhang Yuzhong, Cheng Ying, Chen Zichen, Chen Feiyun, Zhang Qing
Department of Otorhinolaryngology-Head and Neck Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Front Neurol. 2021 Dec 23;12:713275. doi: 10.3389/fneur.2021.713275. eCollection 2021.
Operative measures are considered when medical treatment fails to control vertigo in patients with intractable Ménière disease. The present report discusses a case in which triple semicircular canal occlusion was performed in a 30-year-old female patient who responded poorly to previously performed endolymphatic sac surgery. Her vestibular and auditory functions were evaluated both before and after surgery. Class A control of vertigo was achieved during the 76-month postoperative follow-up period. Ocular and cervical vestibular evoked myogenic potentials could be elicited before and after surgery. This case suggests that relatively long-term preservation of otolithic function can be achieved following triple semicircular canal occlusion, highlighting its potential as an alternative treatment for patients with Ménière disease.
当药物治疗无法控制顽固性梅尼埃病患者的眩晕时,可考虑采取手术措施。本报告讨论了一例30岁女性患者的病例,该患者对先前进行的内淋巴囊手术反应不佳,接受了三半规管阻塞术。术前和术后均对其前庭和听觉功能进行了评估。术后76个月的随访期内实现了A级眩晕控制。手术前后均可引出眼震和颈前庭诱发肌源性电位。该病例表明,三半规管阻塞术后可实现耳石功能的相对长期保留,凸显了其作为梅尼埃病患者替代治疗方法的潜力。