Vestibular Neuritis

Vestibular neuronitis is acute unilateral vestibular hypofunction, likely viral/inflammatory, presenting with sudden severe sustained vertigo, nausea/vomiting, and spontaneous nystagmus, without hearing loss. It resolves over days-weeks with compensation. Treatment: short-course vestibular suppressants/antiemetics acutely; oral corticosteroids early may improve recovery; vestibular rehabilitation exercises; distinguish from labyrinthitis (which has hearing loss) and stroke (central signs).

Common Symptoms

Sudden severe sustained vertigo; nausea/vomiting; spontaneous nystagmus; NO hearing loss; viral prodrome

Causes and Pathogenesis

Viral/inflammatory neuritis of the vestibular nerve causes unilateral vestibular failure.

Treatment

Vestibular suppressants/antiemetics acutely; early oral steroids; vestibular rehabilitation

Preventive Measures

Vestibular rehab; exclude central stroke.

Department to Visit

It is recommended to visit the Otolaryngology/Neurology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.