Reversible bilateral vestibular impairment caused by fourth ventricle epidermoid tumor

Neurologia Medico-chirurgica
Atsushi KambeAkira Sasaki

Abstract

A 26-year-old man presented with an epidermoid tumor of the fourth ventricle manifesting as headache with nausea and vertigo. Neurological examination revealed no cerebellar signs, except nystagmus. Bilateral vestibular impairment was identified by the caloric test. The tumor was removed via the midline suboccipital approach. The bilateral peripheral vestibular function recovered remarkably postoperatively. This marked improvement suggests that the bilateral vestibular impairment was caused by compression of the vestibular nuclei by the tumor.

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Citations

Jul 12, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Daniel NagasawaIsaac Yang
Dec 19, 2018·Cognitive and Behavioral Neurology : Official Journal of the Society for Behavioral and Cognitive Neurology·Katie VeretennikoffGail A Robinson
Jun 24, 2008·British Journal of Neurosurgery·I B HanO J Kim

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