VESTIBULAR NEURITIS

dr Asti Kristianti.,SpTHT-KL.,M.Kes

General Consideration
The third most common cause of peripheral vestibular vertigo Has no gender bias Middle-aged people Antecedent or concurrent viral illness (1-2 weeks before attack)

Pathogenesis

The proposed etiologies:

Viral infection Vascular occlusion Immunologic mechanism

The injury is often seen in the superior vestibular nerve

Clinical Finding

Symptoms & Signs

Sudden onset of vertigo with nausea and vomiting ( a peak within 24 hours) Has normal hearing & normal neurologic exam Acute stage nystagmus Complete recovery within a month

Treatment
Symptomatic & supportive care during acute phase Antivertigo & antiemetics The need for further evaluation if the acute vertigo does not improve in 48 hours