Vestibular Neuritis

Question 1

Definition

Answer 1

Inflammation of vestibular nerve (& labyrinth in labyrinthitis)
-Recent viral infection

Question 2

Clinical Features

Answer 2

VERTIGO (can be sudden onset)
-recurrent vertigo attacks lasting hours -> days

Labyrinthitis = hearing loss/nausea and vomiting

Question 3

Management

Answer 3

If hearing loss
-Audiometry and ENT referral if sudden hearing loss

CONSERVATIVE
-Encourage acitvity during attack for estibular compensation

MEDICAL
-Prochlorprazine or antihistamines to manage symptoms

SURGICAL
-Depending on cause (myringotomy, cholesteatoma removal)