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Vertigo after cochlear implantation.

R L Steenerson1, G W Cronin, L B Gary

  • 1The Atlanta Ear Clinic, 980 Johnson Ferry Road, Suite 470, Atlanta, GA 30342, U.S.A.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|November 8, 2001
PubMed
Summary

Vertigo is common after cochlear implantation, affecting most adults. Vestibular therapy effectively treats this post-surgery condition, restoring function.

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Area of Science:

  • Otolaryngology
  • Neurology
  • Audiology

Background:

  • Vertigo following cochlear implantation is historically under-documented.
  • This study addresses the discrepancy between historical reports and clinical experience at a major cochlear implant center.

Purpose of the Study:

  • To determine the incidence of vertigo after cochlear implantation in adults.
  • To describe the effectiveness of vestibular therapy as an intervention for post-cochlear implantation vertigo.

Main Methods:

  • Retrospective case review of adult patients who received cochlear implants between 1995 and 1999.
  • Vertigo assessment included subjective reports, nystagmus testing, and force plate evaluation.
  • Vestibular therapy was administered to patients experiencing vertigo post-surgery.

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Main Results:

  • Approximately 75% of adult cochlear implant recipients reported vertigo or imbalance.
  • Vestibular therapy demonstrated significant benefit in alleviating these symptoms.
  • Treatment outcomes included resolution of vertigo and return to functional status.

Conclusions:

  • A substantial proportion of patients experience vertigo after cochlear implantation.
  • Vestibular therapy is a successful and recommended treatment for managing post-cochlear implantation vertigo.