Vestibular PREHAB and gentamicin before schwannoma surgery may improve long-term postural function

Fredrik Tjernström (1) , Per-Anders Fransson (1) , Babar Kahlon (2) , Mikael Karlberg (1) , Sven Lindberg (1) , Peter Siesjö (2) , Måns Magnusson (1)

1 Department of Otorhinolaryngology, Head and Neck Surgery, Clinical Sciences
2 Department of Neurosurgery, Clinical Sciences

Unilateral vestibular deafferentation (uVD), as performed in vestibular schwannoma surgery, results in a chronic vestibular deficit, though most of the insufficiency can be compensated by other sensory input. By vestibular training (prehabituation) performed before surgery, motor adaptation processes can be instigated before the actual lesion. The adaptation processes of the altered sensory input could be affected if the vestibular ablation and surgery was separated in time, by pre-treating patients that have remaining vestibular function with gentamicin.

Mots clés: GAIT; MEMORY; NEUROSURGERY; VERTIGO

Fredrik Tjernström, Per-Anders Fransson, Babar Kahlon, Mikael Karlberg, Sven Lindberg, et al.. Vestibular PREHAB and gentamicin before schwannoma surgery may improve long-term postural function. Journal of Neurology, Neurosurgery and Psychiatry, 2009, 80 (11), pp.1254. ⟨10.1136/jnnp.2008.170878⟩. ⟨hal-00552760⟩