Advances in diagnosis and treatment of vestibular neuritis
LI Yuanjun
XU Xianrong
Abstract：Vestibular neuritis is one of the most common causes of acute spontaneous vertigo. Vestibular neuritis is as-cribed to acute unilateral loss of vestibular function, probably due to reactivation of herpes simplex virus in the vestibular ganglia. Vestibular neuritis preferentially involves the superior vestibular labyrinth and its afferents. Accordingly, the func-tion of the posterior semicircular canal and saccule, which constitute the inferior vestibular labyrinth, is mostly spared in vestibular neuritis due to the anatomical difference. The clinical features, head impulse test, caloric paresis and cervical/ocu-lar VEMPs can be used for sub-type diagnosis. Symptomatic medication is indicated only during the acute phase to relieve the vertigo and nausea/vomiting. The efficacy of topical and systemic steroids requires further validation. Vestibular rehabili-tation is the most effective way for vestibular neuritis patients to return to their own normal life, especially for pilots. This review focuses on the epidemiology, clinical feature, etiology, evaluation, diagnosis, differential diagnosis, disease course, treatment and medical evaluation of vestibular neuritis.
Keywords：Vestibular neuritisEtiologyVestibular rehabilitationMedical evaluation
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 515-520 )