Demonstrates effective surgical intervention for recurrent vertigo in juvenile patients, indicating a viable option when conservative treatment fails.
Delayed endolymphatic hydrops(DEH)is characterized by recurrent vertigo following profound hearing loss.Surgical intervention may be considered when symptoms are refractory to conservative treatment.However, the optimal surgical strategy for juvenile patients remains controversial.We report an 11-year-old boy with congenital left-sided deafness who developed recurrent vertigo for one year.Medical treatment was ineffective, and the symptoms significantly impaired his daily life.Delayed gadolinium-enhanced 3D-FLAIR MRI demonstrated ipsilateral cochlear and vestibular hydrops, leading to a diagnosis of definite DEH.Considering the patient's age and the need to minimize irreversible inner ear damage, endolymphatic sac decompression was selected as a less invasive surgical option.Postoperatively, vertigo resolved completely without additional medication.This case suggests that endolymphatic sac surgery can be an effective and reasonable surgical option for juvenile DEH when conservative treatment fails and early symptom control is required.
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Kazahaya et al. (2026) studied this question.
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