Vertigo surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

For the majority of underlying causes of vertigo, the mainstay of treatment is medical therapy. Surgery is usually reserved for patients with either tumor associated vertigo, cholesteatoma, and/or when it does not respond to multiple medical therapies.

Surgery

• Following etiologies could benefit from a surgical procedure after the mainstay of therapy has failed.
  • Ménière’s disease: Decompress endolymphatic sac, labyrinthectomy, Vestibular nerve section.
  • Acoustic neuroma: For large, symptomatic, growing tumor one of the following treatment is helpful after weighing risks and benefits:radiotherapy, radiosurgery or surgical removal.
  • Benign paroxysmal positional vertigoFor resistant and severe cases occlusion of semi-circular canal may be helpful.