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Vestibular neuritis
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Vestibular neuritis

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Contributors: Carolyn Zyloney MD, Benjamin L. Mazer MD, MBA, Richard L. Barbano MD, PhD
Other Resources UpToDate PubMed

Synopsis

Vestibular neuritis is idiopathic inflammation of the vestibular nerve (cranial nerve VIII). It typically causes a self-resolving syndrome of vertigo, nausea, and imbalance. Unlike labyrinthitis, it does not present with hearing loss or tinnitus because the cochlear portion of the 8th cranial nerve is unaffected.

Vestibular neuritis has an incidence of approximately 3.5:100 000 people per year. Although it can affect individuals of all ages, the peak incidence occurs in middle age. Its etiology is uncertain but may be associated with inner ear viral infections. Symptom onset is usually sudden and severe. Episodes may last a few days, then becomes less severe over weeks to months. Management involves symptomatic treatment with anticholinergics or antiemetics, physical therapy, and corticosteroids.

Codes

ICD10CM:
H81.20 – Vestibular neuronitis, unspecified ear

SNOMEDCT:
186738001 – Epidemic vertigo

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Differential Diagnosis & Pitfalls

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Therapy

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References

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Last Reviewed: 02/08/2019
Last Updated: 03/01/2019
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Vestibular neuritis
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Vestibular neuritis : Nausea, Vomiting, Gait disturbance, Nystagmus, Vertigo
Copyright © 2019 VisualDx®. All rights reserved.