Delayed Hearing Loss after Neurovascular Decompression

Abstract

We report two unusual cases of delayed hearing loss after neurovascular decompression of structures within the cerebellopontine angle. In the first case, the patient noted a unilateral hearing loss 3 weeks after undergoing vascular decompression of the trigeminal nerve for tic douloureux. This gradually improved over an 18-month period. In the second case, the patient awoke on the 4th day after vascular decompression of the facial nerve for hemifacial spasm with a bilateral hearing loss that has remained unchanged after the onset. These are examples of delayed acoustic dysfunction occurring with a shift in surgically freed vessels and may have been induced by newly directed neurovascular compression or distortion.

Document Details

Document Type
Pub Defense Publication
Publication Date
Dec 01, 1990
Source ID
10.1227/00006123-199012000-00024

Entities

People

  • Bahman Jabbari
  • Dennis E. Mcdonnell
  • Giovana Spinella
  • Gustave H. Mueller
  • Peter M. Klara

Organizations

  • Medical College of Georgia
  • Uniformed Services University of the Health Sciences

Tags

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Trauma Surgery or Emergency Medicine.
  • Underwater engineering and Marine Technology.