Labyrinthitis, vestibular neuritis, Menderes, BPPV

Question 1

what is labyrinthitis?

Answer 1

-inflammation of the membranous labyrinth of the ear

Question 2

how does labyrinthitis present?

Answer 2

• hearing loss
• vertigo lasting hours to days
• nausea and vomiting
• tinnitus

Question 3

what is the treatment for labyrinthitis?

Answer 3

Rule of 3

• in bed 3 days
• 3 weeks off work
• off balance 3 months

-anti nausea meds

Question 4

how to distinguish between vestibular neuritis and labyrinthitis?

Answer 4

Present very similarly:

• vertigo lasting hours to days
• tinnitus
• nausea and vomiting

but

labyrinthitis= louder?= hearing loss!
vestibular neuritis= NO hearing loss

Question 5

how does menieres present?

Answer 5

• vertigo lasting for hours
• feeling of fullness in the ear
• tinnitus
• sensorineural hearing loss (typically at low frquencies)

Question 6

what is the diagnostic criteria for vertigo?

Answer 6

• History of recurrent, spontaneous, rotational vertigo with at least 2 episodes > 20 mins (often lasting hours)
• new tinnitus (or worsening) on affected side
• aural fullness on affected side
• documented sensorineural hearing loss on at least one occasion (typiccally struggle to hear low frequencies)