title: [Vestibular results before and after neurectomy of the vestibular nerve in cases of vertigo resistant to medical treatment (author's transl)].
abstract: 25 patients suffering from vertigo due to peripheral-vestibular disorders resistant to medical treatment underwent neurectomy of the vestibular nerve. Präoperatively 24 showed a pathological result in the neurotological examination. In 83% of the cases an abnormal caloric reaction could be seen in the frequency-calorigram, which graphically represents the caloric test. The postoperative objective vestibular results always correlated with the subjective feeling of vertigo. We could see a decrease and finally a disappearance of the horizontal unidirectional spontaneous nystagmus. It is of value to examine the gaze nystagmus in none directions of gaze. In the positiogram, a quantitative scheme of the positional test, one could recongize a decrease of the nystagmus intensity in the follow-up examination. The same was found by testing the vestibulo-spinal reactions. Although the neurectomy of the vestibular nerve involves a serious operation it is nevertheless the first choice of treatment. 96% of the cases are free from vertigo. Postoperative there is a very low complication quota.
mesh_terms: D000328:Adult; D001299:Audiometry; D004351:Drug Resistance; D005860:Germany, West; D006801:Humans; D008297:Male; D008722:Methods; D009759:Nystagmus, Pathologic / Q000628:therapy; D011183:Postoperative Complications / Q000453:epidemiology; D014717:Vertigo / Q000188:drug therapy / Q000628:therapy*; D014725:Vestibular Nerve / Q000601:surgery*
vernacular_title: Vestibularisbefunde vor und nach Neurektomie des Vestibularnervs zur Beseitigung von therapieresistentem Schwindel.