Treatment of vestibular neuritis

  title={Treatment of vestibular neuritis},
  author={Mark F. Walker},
  journal={Current Treatment Options in Neurology},
  • 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… 
Vestibular Neuronitis : Diagnosis , ManagementAnd
Vestibular neuronitis (VN) is a common cause of sudden onset of vertigo. It results in hearing loss or ringing in the ears. Many cases are caused by reactivation of herpes simplex virus that affects
Vestibular Neuronitis: Diagnosis,ManagementAnd Treatment
Vestibular neuronitis (VN) is a common cause of sudden onset of vertigo, which results in hearing loss or ringing in the ears and management includes symptomatic supportive care during the acute phase.
Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo?
The current knowledge of the aetiology of vestibular neuritis including viral infections, vascular occlusion, and immunomediated mechanisms are reviewed and the pathogenesis with relevance to pharmacotherapy is discussed.
Bell's palsy and vestibular neuronitis.
Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis).
There is currently insufficient evidence from these trials to support the administration of corticosteroids to patients with idiopathic acute vestibular dysfunction, and it is recommended that future studies should include health-related quality of life and symptom-based outcome measures, in addition to objective measures of Vestibular improvement, such as caloric testing and electronystagmography.
A case of otitis interna in a ferret (Mustela putorius furo)
A 4-year-old deslorelin-implanted female ferret presented with an acute-onset, 2-day history of circling and falling to the right, and a diminished appetite, which suggested a right-sided vestibular syndrome.
Management of peripheral vertigo with antihistamines: New options on the horizon
Encouraging outcomes in an induced vertigo model in healthy volunteers have led to ongoing clinical studies in acute unilateral vestibulopathy, with the hope that H4 antagonists will offer new effective therapeutic options to patients suffering from vertigo.
Disconnect between charted vestibular diagnoses and emergency department management decisions: a cross-sectional analysis from a nationally representative sample.
If emergency physicians apply best practices to diagnose and treat vestibular disorders seen in the emergency department (ED) is sought, suggesting overuse of CT (BPPV) and probably underuse of MRI (APV).
COVID-19-Induced Vestibular Neuritis, Hemi-Facial Spasms and Raynaud's Phenomenon: A Case Report
A case of a 63-year-old female diagnosed with COVID-19 and associated rare manifestations during her visit to Europe and the presentation in some cases may be atypical with various neurological and cutaneous manifestations.
Therapeutic interventions in vertigo management
This review assesses the use of betahistine 48 mg twice daily for three months as an efficient and well-tolerated treatment for vertigo and suggests that it may be considered as the first-line of treatment for vestibular dysfunction.


Methylprednisolone, valacyclovir, or the combination for vestibular neuritis.
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”
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.
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
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
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
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
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
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
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.