title: Delayed quick spins after vestibular nerve section respond to anticonvulsant therapy.
abstract: OBJECTIVE
  To describe the clinical features of patients with failed vestibular nerve section that have a response to anticonvulsant medication.
  
  
  METHODS
  Retrospective case review.
  
  
  METHODS
  Ambulatory tertiary referral center.
  
  
  METHODS
  We report three patients who were afflicted with frequent brief spinning spells, or "quick spins," after vestibular neurectomy for Meniere's disease.
  
  
  METHODS
  Treatment with anticonvulsants.
  
  
  METHODS
  Relief of vertigo.
  
  
  RESULTS
  All cases had an excellent therapeutic response to carbamazepine or oxcarbazepine, agents conventionally used for neuralgia, suggesting that these symptoms are caused by a hyperexcitable vestibular nerve.
  
  
  CONCLUSIONS
  Treatment of neuralgia should be considered when the symptom of quick spins arises after vestibular neurectomy.
authors.affiliation: Department of Neurology, Northwestern University, Chicago, Illinois 60611-3008, USA.
authors.forename: In Soo
authors.initials: IS
authors.lastname: Moon
authors.forename: Timothy C
authors.initials: TC
authors.lastname: Hain
mesh_terms: D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold / Q000502:physiology; D004185:Disability Evaluation; D004584:Electronystagmography; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D009412:Nerve Fibers / Q000502:physiology; D009416:Nerve Regeneration / Q000502:physiology; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology; D004856:Postural Balance / Q000502:physiology; D012008:Recurrence; D012086:Reoperation; D017211:Treatment Failure; D014717:Vertigo / Q000209:etiology* / Q000503:physiopathology; D014725:Vestibular Nerve / Q000503:physiopathology / Q000601:surgery*