Cochlea-vestibular nerve compression syndrome (CVCS) may present as recurrent attacks
of vertigo, dizziness, imbalance, etc. Those patients who do not respond to medical
management, are usually managed by “microvascular decompression (MVD) of cochlea-vestibular
nerve.” The success rate of MVD is not 100% and few patients present with the recurrence
of symptoms. We are reporting management of one such resistant case of CVCS. A 40-year-old
female patient who was a known case of CVCS, was managed by medical and surgical (MVD)
management. She had no relief of symptoms. We did redo MVD of cochlea-vestibular nerve
after full evaluation of symptomatology. Patient had complete relief in her symptoms.
In failed MVD cases, redo MVD can be performed if patient is still having e/o nerve
compression, adhesions on magnetic resonance imaging.
Key-words:
Anterior inferior cerebellar artery - cochlea-vestibular nerve compression syndrome
- microvascular decompression - Teflon - vertigo
