To find more about the symptoms, causes, treatment, and best practices of Vestibular Paroxysmia, see below.
It is a clinical syndrome caused by compression of the vestibular nerve. The main clinical feature is brief recurrent spells of vertigo.
Nerve compression or damage due to by:
Microvascular compression is one of the most common reasons for vestibular paroxysmia.
The patient may complain of spells of vertigo or dizziness lasting from seconds to minutes and may occur several times per day.
The following tests are advised for evaluating the condition and its severity:
Neurovascular compression of the cochleovestibular nerve causes Vestibular Paroxysmia. Treatment with carbamazepine or oxcarbazepine is usually effective. Response to these medicines also serves as a diagnostic tool. Vestibular suppressants are not effective in this condition.
If medical treatment does not have the desired outcome, surgery may be done. Microvascular decompression of a vascular loop compressing the vestibular nerve may be done endoscopically with minimal morbidity in expert hands.
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