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Research in Vestibular Science > Volume 12(2); 2013 > Article
Research in Vestibular Science 2013;12(2): 58-61.
Oxcarbazepine 투여로 호전된 전정신경초종에 의한 재발성 현훈
, , , 최재환1, 김민지2, 최광동2, 정대수2
1양산부산대학교병원 신경과, 2부산대학교 의과대학 신경과학교실
Recurrent Vertigo in Vestibular Schwannoma Responsive to Oxcarbazepine
Jae Hwan Choi, Min Ji Kim, Kwang Dong Choi, Dae Soo Jung
1Department of Neurology, Pusan National University Yangsan Hospital, Yangsan, Korea.
2Department of Neurology, Pusan National University Hospital, Busan, Korea. kdchoi@medimail.co.kr
ABSTRACT
Vestibular schwannoma (VS) are benign neoplasms that arise from Schwann cells of the eighth cranial nerve. Although progressive unilateral hearing loss with dizziness or disequilibrium provides a high suspicion index of VS, vertigo is the symptom causing the most pronounced negative effect on quality of life in patients with VS. We report a 55-year-old woman with recurrent paroxysmal vertigo and hyperventilation-induced nystagmus due to VS, which improved by oxcarbazepine treatment. We suggest that episodic vertigo in VS may be ascribed to the ectopic paroxysmal neuronal discharge from the partially demyelinated vestibular nerve due to tumor compression.
Keywords: Acoustic neuroma; Episodic vertigo; Oxcarbazepine
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