Microvascular decompression for typewriter tinnitus-case report

Tiit Mathiesen; Krister Brantberg

doi:10.1007/s00701-014-2324-1

Microvascular decompression for typewriter tinnitus-case report

Tiit Mathiesen, Krister Brantberg

14 Citationer (Scopus)

Abstract

BACKGROUND: Microvascular decompression has been tested as a treatment for tinnitus.

METHODS: However, only a fraction of patients appear to benefit from surgery if the combination of findings such as paroxysmal vertigo, ABR changes and tinnitus is used to select patients for microvascular decompression.

RESULTS: Instead, a more specific syndrome of staccato or "typewriter" tinnitus, which is highly responsive to carbamazepine, was suggested to be caused by a neurovascular conflict.

CONCLUSION: We present the first case of typewriter tinnitus with complete long-term symptom relief following microvascular decompression of the vestibulocochlear nerve. We suggest that this specific syndrome is caused by a neurovascular conflict and treatable by microvascular decompression.

Originalsprog	Engelsk
Tidsskrift	Acta Neurochirurgica
Vol/bind	157
Udgave nummer	2
Sider (fra-til)	333-6
Antal sider	4
ISSN	0001-6268
DOI	https://doi.org/10.1007/s00701-014-2324-1
Status	Udgivet - feb. 2015
Udgivet eksternt	Ja

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10.1007/s00701-014-2324-1

Citationsformater

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title = "Microvascular decompression for typewriter tinnitus-case report",

abstract = "BACKGROUND: Microvascular decompression has been tested as a treatment for tinnitus.METHODS: However, only a fraction of patients appear to benefit from surgery if the combination of findings such as paroxysmal vertigo, ABR changes and tinnitus is used to select patients for microvascular decompression.RESULTS: Instead, a more specific syndrome of staccato or {"}typewriter{"} tinnitus, which is highly responsive to carbamazepine, was suggested to be caused by a neurovascular conflict.CONCLUSION: We present the first case of typewriter tinnitus with complete long-term symptom relief following microvascular decompression of the vestibulocochlear nerve. We suggest that this specific syndrome is caused by a neurovascular conflict and treatable by microvascular decompression.",

keywords = "Humans, Male, Microvascular Decompression Surgery/methods, Middle Aged, Syndrome, Tinnitus/surgery, Treatment Outcome, Vestibulocochlear Nerve/surgery",

author = "Tiit Mathiesen and Krister Brantberg",

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doi = "10.1007/s00701-014-2324-1",

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T1 - Microvascular decompression for typewriter tinnitus-case report

AU - Mathiesen, Tiit

AU - Brantberg, Krister

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N2 - BACKGROUND: Microvascular decompression has been tested as a treatment for tinnitus.METHODS: However, only a fraction of patients appear to benefit from surgery if the combination of findings such as paroxysmal vertigo, ABR changes and tinnitus is used to select patients for microvascular decompression.RESULTS: Instead, a more specific syndrome of staccato or "typewriter" tinnitus, which is highly responsive to carbamazepine, was suggested to be caused by a neurovascular conflict.CONCLUSION: We present the first case of typewriter tinnitus with complete long-term symptom relief following microvascular decompression of the vestibulocochlear nerve. We suggest that this specific syndrome is caused by a neurovascular conflict and treatable by microvascular decompression.

AB - BACKGROUND: Microvascular decompression has been tested as a treatment for tinnitus.METHODS: However, only a fraction of patients appear to benefit from surgery if the combination of findings such as paroxysmal vertigo, ABR changes and tinnitus is used to select patients for microvascular decompression.RESULTS: Instead, a more specific syndrome of staccato or "typewriter" tinnitus, which is highly responsive to carbamazepine, was suggested to be caused by a neurovascular conflict.CONCLUSION: We present the first case of typewriter tinnitus with complete long-term symptom relief following microvascular decompression of the vestibulocochlear nerve. We suggest that this specific syndrome is caused by a neurovascular conflict and treatable by microvascular decompression.

KW - Humans

KW - Male

KW - Microvascular Decompression Surgery/methods

KW - Middle Aged

KW - Syndrome

KW - Tinnitus/surgery

KW - Treatment Outcome

KW - Vestibulocochlear Nerve/surgery

U2 - 10.1007/s00701-014-2324-1

DO - 10.1007/s00701-014-2324-1

M3 - Journal article

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JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

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Microvascular decompression for typewriter tinnitus-case report

Abstract

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