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Magnetic resonance imaging allows in vivo evaluation of changes manifesting in the inner ear after treatment; however, downgrading of the endolymphatic hydrops after vestibular neurectomy had not been previously described in the literature. In the present article, a case of a patient with unilateral severe Meniere\u2019s disease treated with selective vestibular nerve section from middle fossa approach was described. Clinical symptoms and audiovestibular tests were evaluated before and 13 months after the surgery. Complete resolution of vertigo episodes and hearing preservation was achieved. Magnetic resonance imaging was performed before and after the surgery using a 3 Tesla scanner with dedicated protocol after intravenous administration of gadolinium contrast agent. In the follow-up examination, regression of the cochlear and vestibular endolymphatic hydrops was visualized, which may suggest processes occurring in the labyrinth as a result of the vestibular efferent fibers section.<\/jats:p>","DOI":"10.1177\/01455613241238633","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T08:39:40Z","timestamp":1713602380000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Regression of Endolymphatic Hydrops in Patient With Meniere\u2019s Disease Treated With Vestibular Neurectomy: A Case Report"],"prefix":"10.1177","author":[{"given":"Agnieszka","family":"Jasi\u0144ska-Nowacka","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Medical University of Warsaw, Warszawa, Mazowieckie, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3639-4422","authenticated-orcid":false,"given":"Tomasz","family":"Wojciechowski","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Medical University of Warsaw, Warszawa, Mazowieckie, Poland"},{"name":"Department of Clinical and Descriptive Anatomy, Center for Biostructure Research, Medical University of Warsaw, Warszawa, Mazowieckie, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilia","family":"Wnuk","sequence":"additional","affiliation":[{"name":"Second Department of Clinical Radiology, Medical University of Warsaw, Warszawa, Mazowieckie, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazimierz","family":"Niemczyk","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery, Medical University of Warsaw, Warszawa, Mazowieckie, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,20]]},"reference":[{"key":"bibr1-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820909438"},{"key":"bibr2-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31802c300c"},{"key":"bibr3-01455613241238633","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3856"},{"key":"bibr4-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-019-02155-7"},{"key":"bibr5-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2022.103764"},{"key":"bibr6-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2087-3"},{"key":"bibr7-01455613241238633","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2015.1015607"},{"key":"bibr8-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002603"},{"key":"bibr9-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318248ee1f"},{"key":"bibr10-01455613241238633","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.00046"},{"key":"bibr11-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001144"},{"key":"bibr12-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2021.12.001"},{"issue":"4","key":"bibr13-01455613241238633","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/S0030-6665(20)32323-9","volume":"13","author":"Arenberg IK","year":"1980","journal-title":"Otolaryngol Clin North Am"},{"key":"bibr14-01455613241238633","doi-asserted-by":"publisher","DOI":"10.5114\/pjr.2022.117971"},{"key":"bibr15-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2021.03.027"},{"key":"bibr16-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100142719"},{"issue":"6","key":"bibr17-01455613241238633","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1016\/S0030-6665(20)30149-3","volume":"30","author":"Silverstein H","year":"1997","journal-title":"Otolaryngol Clin North Am"},{"key":"bibr18-01455613241238633","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199602000-00023"}],"container-title":["Ear, Nose &amp; 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