Vestibular neuritis
Learn about vestibular neuritis and its management
What you'll get:
- Detailed information about the clinical history.
- Clear descriptions of the physical examination findings (with extra details for practitioners).
- Critical review of evidence regarding management.
This material is intended for educational purposes only, and does not substitute evaluation by a qualified health care professional.
In developing this course we reviewed literature (so that you don't have to!)
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- Dix M, Hallpike C, “The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system,” Ann Otol Rhinol Laryngol 1952;61:987-1016.
- Fishman JM, Burgess C, Waddell A (2011) Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis). Cochrane Database Syst Rev: CD008607. doi: 10.1002/14651858.CD008607.pub2
- Halmagyi GM, Curthoys IS (1988) A clinical sign of canal paresis. Arch Neurol 45: 737-9. doi: 10.1001/archneur.1988.00520310043015.
- Huppert D, Strupp M, Theil D et al, “Low recurrence rate of vestibular neuritis: A long-term follow-up,” Neurology 2006;67:1870-187.
- Kim G, Seo JH, Lee SJ, Lee DH (2022) Therapeutic effect of steroids on vestibular neuritis: Systematic review and meta-analysis. Clin Otolaryngol 47: 34-43. doi: 10.1111/coa.13880
- Leong KJ, Lau T, Stewart V, Canetti EFD (2021) Systematic Review and Meta-analysis: Effectiveness of Corticosteroids in Treating Adults With Acute Vestibular Neuritis. Otolaryngol Head Neck Surg: 194599820982910. doi: 10.1177/0194599820982910
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- Mandalà M, Santoro GP, Awrey J et al, “Vestibular neuritis: recurrence and incidence of secondary benign paroxysmal positional vertigo,” Acta Otolaryngol 2010;130(5):565-7.
- Navari E, Casani AP (2020) Lesion Patterns and Possible Implications for Recovery in Acute Unilateral Vestibulopathy. Otol Neurotol 41: e250-e255. doi: 10.1097/MAO.0000000000002476
- Neuhauser HK, Lempert T, “Vertigo: Epidemiologic aspects,” Semin Neurol 2009;29(5):473-481.
- Ruttin E (1909) Zur differential diagnose der Laybrinth- und Hörnerverkrankungen [On the differential diagnosis of labyrinthine and hearing diseases]. Zeitschrift für Ohrenheilkunde [Journal of Otology] 57: 327-331.
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- Strupp M, Arbusow V, Maag K et al, “Vestibular exercises improve central vestibulospinal compensation after vestibular neuritis,” Neurology 1998;51(3):838-844.
- Strupp M, Bisdorff A, Furman J, Hornibrook J, Jahn K, Maire R, Newman-Toker D, Magnusson M (2022) Acute unilateral vestibulopathy/vestibular neuritis: Diagnostic criteria. J Vestib Res 32: 389-406. doi: 10.3233/VES-220201
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- Strupp M, Zingler VC, Arbusow V, et al, “Methylprednisolone, valacyclovir, or the combination for vestibular neuritis,” NEJM 2004;351(4):354-61.
- Taylor RL, McGarvie LA, Reid N, Young AS, Halmagyi GM, Welgampola MS (2016) Vestibular neuritis affects both superior and inferior vestibular nerves. Neurology 87: 1704-1712. doi: 10.1212/WNL.0000000000003223
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- Yoo MH, Yang CJ, Kim SA, Park MJ, Ahn JH, Chung JW, Park HJ (2017) Efficacy of steroid therapy based on symptomatic and functional improvement in patients with vestibular neuritis: a prospective randomized controlled trial. Eur Arch Otorhinolaryngol 274: 2443-2451. doi: 10.1007/s00405-017-4556-1