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Vestibular Migraine Following Radiosurgery for Vestibular Schwannoma.
Chae, Ricky; McDermott, Michael; Muacevic, Alexander; Adler, John R; Sharon, Jeffrey D.
Afiliación
  • Chae R; Otolaryngology - Head and Neck Surgery, University of California San Francisco, San Francisco, USA.
  • McDermott M; Neurosurgery, Miami Neuroscience Institute, Miami, USA.
  • Muacevic A; Radiosurgery, European CyberKnife Center, Munich, DEU.
  • Adler JR; Department of Neurosurgery, Stanford University School of Medicine, Stanford, USA.
  • Sharon JD; Radiation Oncology, Stanford University Medical Center, Stanford, USA.
Cureus ; 12(6): e8569, 2020 Jun 11.
Article en En | MEDLINE | ID: mdl-32670705
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos