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  • Title: Microvascular decompression for typewriter tinnitus-case report.
    Author: Mathiesen T, Brantberg K.
    Journal: Acta Neurochir (Wien); 2015 Feb; 157(2):333-6. PubMed ID: 25572633.
    Abstract:
    BACKGROUND: Microvascular decompression has been tested as a treatment for tinnitus. METHODS: However, only a fraction of patients appear to benefit from surgery if the combination of findings such as paroxysmal vertigo, ABR changes and tinnitus is used to select patients for microvascular decompression. RESULTS: Instead, a more specific syndrome of staccato or "typewriter" tinnitus, which is highly responsive to carbamazepine, was suggested to be caused by a neurovascular conflict. CONCLUSION: We present the first case of typewriter tinnitus with complete long-term symptom relief following microvascular decompression of the vestibulocochlear nerve. We suggest that this specific syndrome is caused by a neurovascular conflict and treatable by microvascular decompression.
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