Vestibular neuronitis

Question 1

define vestibular neuronitis

Answer 1

sometimes called acute vestibular failure

actue inflammation of the cochlea and semicircular canals.

Question 2

symptoms of acute vestibular failure

Answer 2

sudden attacks of unilateral vertigo and vomitting in previously well person

Question 3

what usually precedes vestibular neuronitis

Answer 3

a recent URTI

Question 4

how long does vesitibular neuronitis last

Answer 4

around 1-2 days improving over a week

full recovery can take several months

Question 5

what cna happen during recovery from vestibular neuronitis

Answer 5

episodes of decompensation

Question 6

signs of vestibular neuronitis

Answer 6

nystagmus away from the affected side

Question 7

investigations for acute neuronitis

Answer 7

audiogram

MRI scan

Question 8

managemtn for acute neurontis 3

Answer 8

vestibular suppresants eg Bucasteam or cyclizine

-prochlorperazine for acute symptoms control
but only for vertinginous symptoms not disequilibrium as can slow rehabilitation