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ALL / Neurology
Vestibular neuronitis
Vestibular neuronitis
Vestibular neuronitis is a cause of vertigo that often develops following a viral infection.Features
- recurrent vertigo attacks lasting hours or days
- nausea and vomiting may be present
- horizontal nystagmus is usually present
- no hearing loss or tinnitus
Differential diagnosis
- viral labyrinthitis
- posterior circulation stroke: the HiNTs exam can be used to distinguish vestibular neuronitis from posterior circulation stroke
Management
- buccal or intramuscular prochlorperazine is often used to provide rapid relief for severe cases
- a short oral course of prochlorperazine, or an antihistamine (cinnarizine, cyclizine, or promethazine) may be used to alleviate less severe cases
- vestibular rehabilitation exercises are the preferred treatment for patients who experience chronic symptoms
+PassMedicine Notes
Vestibular neuronitis is a cause of vertigo that often develops following a viral infection.
Features- recurrent vertigo attacks lasting hours or days
- nausea and vomiting may be present
- horizontal nystagmus is usually present
- no hearing loss or tinnitus
- viral labyrinthitis
- posterior circulation stroke: the HiNTs exam can be used to distinguish vestibular neuronitis from posterior circulation stroke
- buccal or intramuscular prochlorperazine is often used to provide rapid relief for severe cases
- a short oral course of prochlorperazine, or an antihistamine (cinnarizine, cyclizine, or promethazine) may be used to alleviate less severe cases
- vestibular rehabilitation exercises are the preferred treatment for patients who experience chronic symptoms
