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[Value of neurectomy in cochleo-vestibular disorders].

39 patients who suffered from therapy-resistant cochlear-vestibular disturbance, underwent neurectomy procedures for the control of their disease; half a year after surgery a follow-up inquiry ascertained their present condition. 29 patients had a history of Ménière's disease; in 9 patients the patients' condition after stapedectomy, injury of the skull or vascular malformation in the internal auditory canal were the reason for surgery. In the first group the disabling attacks of vertigo had disappeared. The effects of symptoms such as tinnitus, pressure, hearing loss and an occasional unsteadiness were felt to be less severe. Strikingly divergent opinions were expressed on the results of surgery in the second group; on the whole, these patients did not feel as positively about their operation as those who had been suffering from Ménière's disease.

Cochlear Nerve↗

[Objective evaluation of compensation of permanent loss of vestibular function].

The method of quantitative assessment of the dynamics of compensation of peripheral equilibrium disturbances was applied in patients with sudden permanent unilateral loss of vestibular function of different aetiology. The course of compensation was assessed by means of the test of threshold excitability during rotation for establishing the threshold of practical compensation. It was found that the rate of the compensation process was influenced by: 1) greater adaptation of the central nervous system in young subjects, 2) earlier beginning of exercises. The clinical importance of early detection of the threshold of practical compensation and its significance for expert opinion are discussed.

Adolescent↗