Treatment of vestibular neuritis

@article{Walker2009TreatmentOV,
  title={Treatment of vestibular neuritis},
  author={Mark F. Walker},
  journal={Current Treatment Options in Neurology},
  year={2009},
  volume={11},
  pages={41-45}
}
  • M. Walker
  • Published 2009
  • Medicine
  • Current Treatment Options in Neurology
Opinion statementVestibular neuritis is an acute peripheral vestibulopathy. It is thought to result from a reactivation of herpes simplex virus that affects the vestibular ganglion, vestibular nerve, labyrinth, or a combination of these. The symptoms are prolonged continuous vertigo, nausea and vomiting, and imbalance. In evaluating a patient with an acute vestibular syndrome, it is important not to miss a central cause, such as a brainstem or cerebellar stroke or hemorrhage, which could be… 
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References

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Methylprednisolone, valacyclovir, or the combination for vestibular neuritis.
TLDR
Methylprednisolone significantly improves the recovery of peripheral vestibular function in patients with Vestibular neuritis, whereas valacyclovir does not, and the combination of methylpredisonsolone and valacyClovir was not superior to corticosteroid monotherapy.
Bedside differentiation of vestibular neuritis from central “vestibular pseudoneuritis”
TLDR
Clinical signs were correlated to differentiate vestibular neuritis from central “vestibular pseudoneuritis” in the acute situation with the final diagnosis assessed by neuroimaging.
Second Louis H. Clerf Lecture. Vestibular neuritis.
TLDR
The clinical and pathological features are consistent with a viral etiology and the atrophic changes in the vestibular nerves are usually sufficiently severe to create Vestibular test abnormalities.
Prednisone Treatment for Vestibular Neuritis
TLDR
Prednisone therapy might enhance earlier recovery but does not improve the long-term prognosis of VN, and both clinical and laboratory parameters in VN are not correlated.
Distribution of herpes simplex virus type 1 in human geniculate and vestibular ganglia: Implications for vestibular neuritis
TLDR
It is suggested that the common double innervation of the posterior ampulla by two nerves running in two separate bony canals could offer an alternative explanation for the regular sparing of posterior canal function in vestibular neuritis.
Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis
TLDR
Patients with lateral pontine and cerebellar strokes can have a positive horizontal head impulse test (h-HIT), so the sign’s presence cannot be solely relied upon to identify a benign pathology.
Vestibular neuritis: clinical-pathologic correlation.
Vestibular exercises improve central vestibulospinal compensation after vestibular neuritis
TLDR
This prospective clinical study suggests that specific Vestibular exercises improve vestibulospinal compensation in patients with acute peripheral vestibular lesions.
Treatment of ramsay hunt syndrome with acyclovir‐prednisone: Significance of early diagnosis and treatment
TLDR
Early administration of acyclovir‐prednisone was proved to reduce nerve degeneration by nerve excitability testing and hearing recovery also tended to be better in patients with early treatment.
Low recurrence rate of vestibular neuritis: A long-term follow-up
TLDR
Unlike Bell’s palsy and sudden hearing loss, a relapse in the same ear did not occur and VN affected the contralateral ear in both patients and caused less severe distressing vertigo and postural imbalance.
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