Vestibular Neuronitis

Question 1

What VN?

Answer 1

Describes inflammation of the vestibularcochlear nerve, usually attributed to a viral infection. This distorts signals of the brain which are essential for movement therefore causing vertigo.

Question 2

Presentation (symtoms)

Answer 2

Acute onset of vertigo
horisontal spinning
history of recent viral infection
symptoms are most severe in the first few days,
vertigo constant in the first few days
Nausea/vomitting

Question 3

is the cochlear nerve impacted?

Answer 3

NO, therefore symptoms should not include hearing loss and tinnitus

Question 4

What test can you use?

Answer 4

Head impulse test

Question 5

Management

Answer 5

same as labrynthtis
may need admission if dehydrated due to nausea