{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:51:26Z","timestamp":1769727086294,"version":"3.49.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,9,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Vestibular paroxysmia is defined by spontaneous, recurrent, short, paroxysmal episodes of vertigo. The authors present a case of vestibular paroxysmia caused by neurovascular compression of the vestibulocochlear nerve due to the subarcuate artery, which was successfully treated with microvascular decompression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 46-year-old man \ufb01rst experienced vertigo attacks 5 years earlier. The attacks became more frequent, and left-sided tinnitus developed over the past 4 months, prompting a referral to our hospital. Carbamazepine treatment alleviated symptoms but had to be discontinued due to rash. Brain magnetic resonance imaging and angiography revealed that the left anterior inferior cerebellar artery was pressing on the cisternal segment of the left vestibulocochlear nerve. The authors diagnosed vestibular paroxysmia caused by neurovascular compression and performed microvascular decompression. During the operation, a subarcuate artery was identified as the offending vessel, with a prominent indentation on the vestibulocochlear nerve. The vertigo was completely relieved following surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Neurovascular compression of the vestibulocochlear nerve by the subarcuate artery can result in vestibular paroxysmia.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/abs\/10.3171\/CASE24239\">https:\/\/thejns.org\/doi\/abs\/10.3171\/CASE24239<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24239","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T02:45:39Z","timestamp":1725245139000},"source":"Crossref","is-referenced-by-count":1,"title":["Vestibular paroxysmia caused by a subarcuate artery: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Kensuke","family":"Sakaji","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Omodaka","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Kanamori","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Takai","sequence":"additional","affiliation":[{"name":"Otolaryngology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akari","family":"Sawada","sequence":"additional","affiliation":[{"name":"Otolaryngology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Otolaryngology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukio","family":"Katori","sequence":"additional","affiliation":[{"name":"Otolaryngology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidenori","family":"Endo","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"5-6","key":"bib1","series-title":"J Vestib Res","first-page":"409","article-title":"Vestibular paroxysmia: diagnostic criteria","volume":"26","author":"Strupp","year":"2016","unstructured":"Strupp MLopez-Escamez JAKim JS, et al. Vestibular paroxysmia: diagnostic criteria. J Vestib Res. 2016;26(5-6):409-415."},{"issue":"13","key":"bib2","series-title":"Neurology","first-page":"1006","article-title":"Vestibular paroxysmia: diagnostic features and medical treatment","volume":"71","author":"H\u00fcfner","year":"2008","unstructured":"H\u00fcfner KBarresi DGlaser M, et al. Vestibular paroxysmia: diagnostic features and medical treatment. Neurology. 2008;71(13):1006-1014."},{"issue":"8900","key":"bib3","series-title":"Lancet","first-page":"798","article-title":"Vestibular paroxysmia: vascular compression of the eighth nerve?","volume":"343","author":"Brandt","year":"1994","unstructured":"Brandt TDieterich M. Vestibular paroxysmia: vascular compression of the eighth nerve?Lancet. 1994;343(8900):798-799."},{"issue":"3","key":"bib4","series-title":"Baillieres Clin Neurol","first-page":"565","article-title":"VIIIth nerve vascular compression syndrome: vestibular paroxysmia","volume":"3","author":"Brandt","year":"1994","unstructured":"Brandt TDieterich M. VIIIth nerve vascular compression syndrome: vestibular paroxysmia. Baillieres Clin Neurol. 1994;3(3):565-575."},{"issue":"12","key":"bib5","series-title":"J Neurol Neurosurg Psychiatry","first-page":"1349","article-title":"MRI and neurophysiology in vestibular paroxysmia: contradiction and correlation","volume":"84","author":"Best","year":"2013","unstructured":"Best CGawehn JKr\u00e4mer HH, et al. MRI and neurophysiology in vestibular paroxysmia: contradiction and correlation. J Neurol Neurosurg Psychiatry. 2013;84(12):1349-1356."},{"issue":"3","key":"bib6","series-title":"Zentralbl Neurochir","first-page":"217","article-title":"Anatomy, length and blood vessel relations of \u201ccentral\u201d and \u201cperipheral\u201d paths of intracisternal cranial nerves","volume":"43","author":"Lang","year":"1982","unstructured":"Lang J. Anatomy, length and blood vessel relations of \u201ccentral\u201d and \u201cperipheral\u201d paths of intracisternal cranial nerves. . Zentralbl Neurochir. 1982;43(3):217-258."},{"issue":"12","key":"bib7","series-title":"Acta Neurochir (Wien)","first-page":"2277","article-title":"Anatomical study of the central myelin portion and transitional zone of the vestibulocochlear nerve","volume":"154","author":"Guclu","year":"2012","unstructured":"Guclu BSindou MMeyronet DStreichenberger NSimon EMertens P. Anatomical study of the central myelin portion and transitional zone of the vestibulocochlear nerve. Acta Neurochir (Wien). 2012;154(12):2277-2283."},{"issue":"2","key":"bib8","series-title":"Neurosurgery","first-page":"427","article-title":"Is the root entry\/exit zone important in microvascular compression syndromes?","volume":"51","author":"De Ridder","year":"2002","unstructured":"De Ridder DM\u00f8ller AVerlooy JCornelissen MDe Ridder L. Is the root entry\/exit zone important in microvascular compression syndromes?Neurosurgery. 2002;51(2):427-434."},{"issue":"2","key":"bib9","series-title":"J Neuroradiol","first-page":"225","article-title":"Vestibular paroxysmia: clinical features and imaging findings; a literature review","volume":"49","author":"Karamitros","year":"2022","unstructured":"Karamitros AKalamatianos TStranjalis GAnagnostou E. Vestibular paroxysmia: clinical features and imaging findings; a literature review. J Neuroradiol. 2022;49(2):225-233."},{"issue":"6","key":"bib10","series-title":"Acta Neurochir (Wien)","first-page":"633","article-title":"VII-VIII nerve complex hung up by the subarcuate artery: a cause of hemifacial spasm","volume":"149","author":"Ferroli","year":"2007","unstructured":"Ferroli PMessina GFranzini ABroggi G. VII-VIII nerve complex hung up by the subarcuate artery: a cause of hemifacial spasm. Acta Neurochir (Wien). 2007;149(6):633-635."},{"issue":"3","key":"bib11","series-title":"Neurosurgery","first-page":"S29","article-title":"The cerebellar arteries","volume":"47","author":"Rhoton","year":"2000","unstructured":"Rhoton ALJr. The cerebellar arteries. Neurosurgery. 2000;47(3):S29-S68."},{"issue":"2-3","key":"bib12","series-title":"J Vestib Res","first-page":"137","article-title":"MRI findings in vestibular paroxysmia\u2014an observational study","volume":"29","author":"Sivarasan","year":"2019","unstructured":"Sivarasan NTouska PMurdin LConnor S. MRI findings in vestibular paroxysmia\u2014an observational study. J Vestib Res. 2019;29(2-3):137-145."},{"issue":"5-6","key":"bib1","series-title":"J Vestib Res","first-page":"409","article-title":"Vestibular paroxysmia: diagnostic criteria","volume":"26","author":"Strupp","year":"2016","unstructured":"Strupp MLopez-Escamez JAKim JS, et al. Vestibular paroxysmia: diagnostic criteria. J Vestib Res. 2016;26(5-6):409-415."},{"issue":"13","key":"bib2","series-title":"Neurology","first-page":"1006","article-title":"Vestibular paroxysmia: diagnostic features and medical treatment","volume":"71","author":"H\u00fcfner","year":"2008","unstructured":"H\u00fcfner KBarresi DGlaser M, et al. Vestibular paroxysmia: diagnostic features and medical treatment. Neurology. 2008;71(13):1006-1014."},{"issue":"8900","key":"bib3","series-title":"Lancet","first-page":"798","article-title":"Vestibular paroxysmia: vascular compression of the eighth nerve?","volume":"343","author":"Brandt","year":"1994","unstructured":"Brandt TDieterich M. Vestibular paroxysmia: vascular compression of the eighth nerve?Lancet. 1994;343(8900):798-799."},{"issue":"3","key":"bib4","series-title":"Baillieres Clin Neurol","first-page":"565","article-title":"VIIIth nerve vascular compression syndrome: vestibular paroxysmia","volume":"3","author":"Brandt","year":"1994","unstructured":"Brandt TDieterich M. VIIIth nerve vascular compression syndrome: vestibular paroxysmia. Baillieres Clin Neurol. 1994;3(3):565-575."},{"issue":"12","key":"bib5","series-title":"J Neurol Neurosurg Psychiatry","first-page":"1349","article-title":"MRI and neurophysiology in vestibular paroxysmia: contradiction and correlation","volume":"84","author":"Best","year":"2013","unstructured":"Best CGawehn JKr\u00e4mer HH, et al. MRI and neurophysiology in vestibular paroxysmia: contradiction and correlation. J Neurol Neurosurg Psychiatry. 2013;84(12):1349-1356."},{"issue":"3","key":"bib6","series-title":"Zentralbl Neurochir","first-page":"217","article-title":"Anatomy, length and blood vessel relations of \u201ccentral\u201d and \u201cperipheral\u201d paths of intracisternal cranial nerves","volume":"43","author":"Lang","year":"1982","unstructured":"Lang J. Anatomy, length and blood vessel relations of \u201ccentral\u201d and \u201cperipheral\u201d paths of intracisternal cranial nerves. . Zentralbl Neurochir. 1982;43(3):217-258."},{"issue":"12","key":"bib7","series-title":"Acta Neurochir (Wien)","first-page":"2277","article-title":"Anatomical study of the central myelin portion and transitional zone of the vestibulocochlear nerve","volume":"154","author":"Guclu","year":"2012","unstructured":"Guclu BSindou MMeyronet DStreichenberger NSimon EMertens P. Anatomical study of the central myelin portion and transitional zone of the vestibulocochlear nerve. Acta Neurochir (Wien). 2012;154(12):2277-2283."},{"issue":"2","key":"bib8","series-title":"Neurosurgery","first-page":"427","article-title":"Is the root entry\/exit zone important in microvascular compression syndromes?","volume":"51","author":"De Ridder","year":"2002","unstructured":"De Ridder DM\u00f8ller AVerlooy JCornelissen MDe Ridder L. Is the root entry\/exit zone important in microvascular compression syndromes?Neurosurgery. 2002;51(2):427-434."},{"issue":"2","key":"bib9","series-title":"J Neuroradiol","first-page":"225","article-title":"Vestibular paroxysmia: clinical features and imaging findings; a literature review","volume":"49","author":"Karamitros","year":"2022","unstructured":"Karamitros AKalamatianos TStranjalis GAnagnostou E. Vestibular paroxysmia: clinical features and imaging findings; a literature review. J Neuroradiol. 2022;49(2):225-233."},{"issue":"6","key":"bib10","series-title":"Acta Neurochir (Wien)","first-page":"633","article-title":"VII-VIII nerve complex hung up by the subarcuate artery: a cause of hemifacial spasm","volume":"149","author":"Ferroli","year":"2007","unstructured":"Ferroli PMessina GFranzini ABroggi G. VII-VIII nerve complex hung up by the subarcuate artery: a cause of hemifacial spasm. 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