Redo microvascular decompression in a patient of resistant c
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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.

This article reports 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. Authors did redo MVD of cochlea-vestibular nerve after full evaluation of symptomatology. The patient had complete relief in her symptoms. In failed MVD cases, redo MVD can be performed if patient is still showing e/o nerve compression, adhesions on magnetic resonance imaging.

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