Vestibular neuronitis Flashcards
What is Vestibular neuronitis
Inflammation of the vestibular nerve, usually attributed to a viral infection.
Vestibular neuronitis pathophysiology
Vestibular nerve transmits signals from vestibular system (semicircular canals + vestibule) r.e. balance
Cochlear nerve transmits signals from cochlear to provide hearing.
Together = vestibulocochlear nerve (CN VIII)
Vestibular neuronitis presentation
Acute onset vertigo, recent viral upper resp. infection, balance problems, nausea + vomitting
No hearing loss or tinnitus
Lasts days
Vestibular neuronitis causes
Normally viral upper resp. tract infection
Vestibular neuronitis differentials
Meniere's disease Labyrinthitis BPPV Migraine Rule out red flags - central cause
Vestibular neuronitis management
Anti-emetic e.g. Prochlorperazine
Antihistimes e.g. Cyclizine
Refer if doesn’t improve