VESTIBULAR NEURITIS

Vestibular neuritis is a condition affecting the vestibulocochlear nerve, which is located in the inner ear. This nerve transmits stability and head posture signals from the inner ear to the brain. Whenever this nerve gets inflamed, it interferes with how the brain typically interprets signals.

Moreover, vestibular neuritis can affect persons of all ages. However, it is uncommon in youngsters. Most causes, according to specialists, are an infectious disease of the inner ear, virally-caused inflammation around the vestibulocochlear nerve, or infectious agents that happen elsewhere in the body. 

SYMPTOMS

Some symptoms for vestibular neuritis include:

  • Extreme vertigo (spinning/swaying feeling) that occurs suddenly and unexpectedly
  • Lightheadedness
  • Trouble with stability
  • Nausea and vomiting
  • Problems concentrating

The most extreme signs usually last only a few days, although they make it exceedingly hard for people to conduct their regular tasks. After the acute symptoms subside, most patients can be treated slowly but entirely over the next few weeks. However, some individuals may develop balancing and dizziness issues that linger for several months.

DIAGNOSIS 

For most cases, a vestibular professional can diagnose vestibular neuritis within a doctor’s visit wherein an otologist or neurotologist is one of these medical professionals. An audiologist may be referred to a test to assess auditory and vestibular problems.

Hearing testing, vestibular tests, and a test to establish if a section of the vestibulocochlear nerve has been destroyed are all used to help identify if signs are triggered by this condition. Another test, known as the head impulse test, assesses how challenging it is to retain attention on items while moving the head quickly.

TREATMENT

Treatment includes: 

  • Controlling vestibular neuritis signs. When this condition initially appears, the primary goal of therapy is to alleviate symptoms, and Ondansetron, a nausea-relieving medication is used.
  • Eliminating virus if one is detected
  • Engaging in a stability recovery program
  • If the nausea and vomiting is extreme and cannot be managed with medication, the patient may be brought to the hospital and administered IV fluids to address dehydration

If a herpes virus is suspected of causing vestibular neuritis in the patient, preventative medication like acyclovir is prescribed. Since bacteria do not produce vestibular neuritis, antibiotics will not cure it.

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