Keywords:vestibular neuronitis, vertigo, nystagmus, vestibular nerve
Vestibular neuronitis is an acute vestibular syndrome due to inflammation of the vestibular nerve characterized by the typical symptoms of acute rotatory vertigo accompanied by nausea, vomiting, and symptoms of balance disorders. The incidence of vestibular neuronitis is about 3.5 per 100,000 people. The exact etiology of this vestibular neuronitis is unknown. However, based on existing evidence, vestibular neuronitis is associated with viral infections of the upper respiratory tract and herpes zoster infection. The clinical manifestations of vestibular neuronitis are persistent rotatory vertigo accompanied by oscillopsia, horizontal-rotatory peripheral vestibular spontaneous nystagmus on the healthy side, and a tendency to fall on the affected side. Diagnosis of vestibular neuronitis can be made by clinical diagnosis, through history, physical examination, and special examinations. Through these examinations, the differential diagnosis of vestibular neuronitis should be excluded, such as Meniere's disease, labyrinthitis, benign paroxysmal positional vertigo, and vertigo due to central lesions such as cerebellar infarction. Management of vestibular neuronitis is in the form of symptomatic therapy with vestibular suppressants, antivertigo, and redirect to relieve the symptoms that arise, then causative therapy can be done by administering corticosteroids, and in patients, physiotherapy can be done to improve vestibular function.
Goddard JC, Fayad JN. Vestibular neuritis. Otolaryngologic Clinics of North America; 2011. Apr 1;44(2):361-5. DOI: 10.1016/j.otc.2011.01.007
Zaidi SH, Sinha A. Vertigo: A clinical guide. Springer Science & Business Media; 2013. Jun 24.
Rudmik L. Evidence-based clinical practice in otolaryngology. Elsevier Health Sciences; 2018.
Chen L and Halmagyi GM. Vestibular neuritis and labyrinthitis; 2014.
Bronstein A, editor. Oxford textbook of vertigo and imbalance. OUP Oxford; 2013 Feb 21.
Brandt T, Dieterich M, Strupp M. Vertigo and dizziness common complaints second edition. Springer-Verlag London Limited; 2013. ISBN: 978-0-85729-591-0
Dommaraju S, Perera E. An approach to vertigo in general practice. Australian Journal of General Practice; 2016. Apr 1;45(4):190. Avalalaible from: racgp.org.au/afp/2016/april/an-approach-to-vertigo-in-general-practice/
Hwang E, Tse D. Evidence-Based Practice: Management of acute vertigo. Evidence-Based Clinical Practice in Otolaryngology; 2018 Jan 20.
Kanegaonkar R, Tysome J, editors. Dizziness and vertigo: An introduction and practical guide. CRC Press; 2014. Apr 22. ISBN: 9781444182682
Swaiman KF, Ashwal S, Ferriero DM, Schor NF, Finkel RS, Gropman AL, Pearl PL, Shevell M. Swaiman's pediatric neurology e-book: Principles and practice. Elsevier Health Sciences; 2017 Sep 21.
How to Cite
This work is licensed under aÂ
Creative Commons Attribution-NonCommercial 4.0 International License