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Ménière's disease (also known as Ménière's vertigo) is a condition characterized by disabling recurrent vertigo, sensorineural hearing loss, otic fullness, and tinnitus. There are various treatments to manage this entity, however, in certain cases, the lack of improvement with less aggressive strategies and the great impact on the quality of life of the patient requires radical procedures such as vestibular neurectomy. By means of a lateral suboccipital approach (retrosigmoid craniectomy) the best exposure of the vestibular nerve, its selective isolation and section is obtained, also allowing to preserve hearing and the entire facial nerve supported with neurophysiological monitoring techniques.

Selective Neurectomy of the Vestibular nerve through a Retrosigmoid approach for the Treatment of vertigo in Ménière's Disease