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ROBERT K. JACKLER, MD
San Francisco

Arch Otolaryngol Head Neck Surg. 1988;114(6):612.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

James E. Beneke, Jr, of the Otologic Medical Group, Los Angeles, recently reported a case of disabling vertigo resulting from compression of the eighth cranial nerve by an ectatic basilar artery. His presentation at the Western Section meeting of the Triological Society, Coronado, Calif, described a 62-year-old woman who presented with dysequilibrium and imbalance of one year's duration, and several months of severe vertiginous episodes. Her symptoms were refractory to all medical therapy. Both a standard audiogram and auditory evoked responses were normal. An electronystagmogram revealed an absent response on the right side to caloric stimulation. Magnetic resonance imaging demonstrated an enlarged and ectatic basilar artery that impinged on the right eighth nerve complex. Posterior fossa craniotomy was undertaken for vascular decompression, but because the large vessel could not be adequately separated from the eighth nerve complex, a selective vestibular neurectomy was performed instead. The patient did well postoperatively, and . . . [Full Text PDF of this Article]

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