Vestibular neuronitis Flashcards
What is vestibular neuronitis?
Vestibular neuronitis is a cause of vertigo that often develops following a viral infection.
What are the features of vestibular neuronitis?
- Recurrent vertigo attacks lasting hours or days
- Nausea and vomiting
- Horizontal nystagmus
- No hearing loss or tinnitus.
What is a differential diagnosis for vestibular neuronitis?
- Viral labyrinthitis
- Posterior circulation stroke.
How can vestibular neuronitis be distinguished from posterior circulation stroke?
The HiNTs exam can be used to distinguish vestibular neuronitis from posterior circulation stroke.
What is the management for severe cases of vestibular neuronitis?
Buccal or intramuscular prochlorperazine
What treatments are used for less severe cases of vestibular neuronitis?
A short oral course of prochlorperazine or an antihistamine (cinnarizine, cyclizine, or promethazine)
What is the preferred treatment for patients with chronic symptoms of vestibular neuronitis?
Vestibular rehabilitation exercises are the preferred treatment for patients who experience chronic symptoms.
