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[Cochleovestibular nerve compression syndrome. A case report]

H Pérez Garriges1, O Rodrigo Chiner, J M Perolada Valmaña

  • 1Servicio de ORL, Hospital Universitario La Fe, Valencia.

Acta Otorrinolaringologica Espanola
|May 1, 1997
PubMed
Summary

Vascular compression of the cochleovestibular nerve causes audiovestibular symptoms like hearing loss and vertigo. Auditory brainstem response and MRI aid in diagnosing this rare condition.

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Cochleovestibular nerve compression syndrome involves audiovestibular symptoms due to vascular compression.
  • Common findings include sensorineural hearing loss and abnormal auditory brainstem response intervals.

Observation:

  • A case study highlights a 40-year-old woman with unilateral hearing loss, dizziness, and tinnitus.
  • Clinical examination revealed no significant findings, but auditory brainstem response showed an increased wave I-V interval.
  • Magnetic resonance imaging identified a vascular loop compressing the cochleovestibular nerve.

Findings:

  • The case demonstrates characteristic audiovestibular symptoms and diagnostic findings of cochleovestibular nerve compression syndrome.
  • Auditory brainstem response and MRI are crucial for diagnosis.

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Implications:

  • This syndrome, though rare, requires consideration in the differential diagnosis of audiovestibular disorders.
  • Understanding the diagnostic pathway is essential for effective management and treatment strategies.