Vestibulopathy Following Microsurgical Resection of Vestibular Schwannoma—The Forgotten Symptom.

This article, published in the Journal of Neurological Surgery, explores the impact of microsurgical resection of vestibular schwannoma (VS) on vestibulopathy, a form of vestibular dysfunction. The study found that immediate postoperative vestibulopathy is common in patients undergoing microsurgery, but it has received less attention compared to facial nerve and hearing outcomes. The literature review revealed that most patients experience persistent vestibulopathy following microsurgery, with vertigo significantly impacting their quality of life. Female sex was found to be associated with worse compensation postoperatively. The study also suggests that postoperative vestibular rehabilitation may improve symptoms of vestibulopathy. However, there is limited evidence on the ability to improve pre-existing vestibulopathy with microsurgery. Overall, the article highlights the importance of understanding the effects of microsurgery on vestibulopathy for shared decision-making with patients considering this treatment option. [Extracted from the article]