Vestibular Neuritis: Recent Advances in Etiology, Diagnostic Evaluation, and Treatment

Adv Otorhinolaryngol. 2019:82:87-92. doi: 10.1159/000490275. Epub 2019 Jan 15.

Abstract

Purpose of Chapter: This chapter highlights the recent advances in etiology, diagnostic evaluation, and management of vestibular neuritis (VN). Recent Findings: The viral hypothesis has been strengthened with new evidence as the main etiology of VN. Recent evidence indicates that bedside oculomotor findings play a critical role in differentiating VN from stroke. The implementation of cervical and ocular vestibular evoked myogenic potential, and video head impulse test in vestibular function testing has made it possible to diagnose selective damage of the vestibular nerves. The management of the acute phase of VN is primarily medical, while long-term treatment is designed to improve vestibular compensation. Summary: VN is clearly defined as an important viral inner ear disorder.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use
  • Diagnosis, Differential
  • Head Impulse Test
  • Humans
  • Physical Therapy Modalities
  • Steroids / therapeutic use
  • Vestibular Evoked Myogenic Potentials
  • Vestibular Function Tests
  • Vestibular Neuronitis* / diagnosis
  • Vestibular Neuronitis* / therapy
  • Vestibular Neuronitis* / virology

Substances

  • Antiviral Agents
  • Steroids