Labyrinthitis
(Vestibular neuronitis) = Inflammation of the inner ear (vestibular nerve).
Labyrinthitis
(Vestibular neuronitis) = Inflammation of the inner ear (vestibular nerve).
Labyrinthitis can bring upon hearing loss and tinnitus. Usually caused by a viral infection, often follows an upper respiratory tract infection. It can also occur from a bacterial infection, allergy, head injury, extreme stress or an adverse effect of a medication.
It is generally a self-limiting condition. Symptoms may include severe onset of vertigo, nausea and vomiting, prostration, nystagmus, normal tympanic membrane. Acute attacks may be treated as for meniere’s disease. Continual vomiting may require IV fluids.
Duration of condition usually resolves within 2-3 weeks. If it persists for > 6 weeks, need to refer.
Treatment includes:
- Bed rest, vestibular sedatives such as cyclizine or prochlorperazine anti-emetics in the first 24-72 hours.
- Vestibular adaptation exercises/rehabilitation in recovery phase.
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