title: Cochlear implantation after selective vestibular nerve section.
abstract: BACKGROUND
  Vestibular nerve section is a highly effective procedure for the control of vertigo in patients with Ménière's disease. However, hearing loss is a possible complication. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should make it possible to establish the presence or absence of an intact cochlear nerve.
  
  
  METHODS
  Case report and review of the world literature concerning cochlear implantation after vestibular nerve section.
  
  
  METHODS
  We present a patient who developed subtotal hearing loss after vestibular nerve section. Magnetic resonance imaging was used to verify the presence of an intact cochlear nerve, enabling successful cochlear implantation.
  
  
  CONCLUSIONS
  To our knowledge, this is the first reported case of cochlear implantation carried out after selective vestibular nerve section. Given recent advances in cochlear implantation, this case indicates that it is essential to make every effort to spare the cochlear nerve if vestibular nerve section is required. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should be undertaken to establish whether the cochlear nerve is intact.
authors: Department of Otolaryngology, Head and Neck Surgery/Skull Base Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia. camillamartens@gmail.com
authors: C
authors: C
authors: Martens
authors: A
authors: A
authors: Csillag
authors: M
authors: M
authors: Davies
authors: P
authors: P
authors: Fagan
mesh_terms: D000368:Aged; D019929:Cochlear Implantation; D003056:Cochlear Nerve; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008575:Meniere Disease / Q000150:complications / Q000601:surgery*; D014717:Vertigo / Q000601:surgery; D014725:Vestibular Nerve / Q000601:surgery*