Vestibular Neuritis and Labrynthitis

Labyrinthitis: inflammation of the labyrinth

Vestibular neuritis: inflammation of the vestibular nerve

Aetiology

• Probably viral

Clinical presentation

• First attack severe, lasting hours with N+V

• Prolonged vertigo (days)

• Labyrinthitis is associated with tinnitus or hearing loss (not seen in vestibular neuritis)

• May be viral symptoms e.g. malaise, headache, N+V

Management

• Supportive management with vestibular sedatives

• Generally self-limiting

• May require further investigation if prolonged or atypical

• May be helped by rehabilitation exercises if prolonged