What is the pathology and treatment of vestibular neuritis/dizziness?

Updated: Jun 26, 2018
  • Author: Wayne T Shaia, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

The pathology and treatment of vestibular neuritis/dizziness includes the following:

  • Intense vertigo that often begins acutely after an upper respiratory or flulike illness characterizes vestibular neuritis. Hearing is usually not affected. Severe vertigo lasts 24-48 hours and gradually subsides.

  • After the vertigo resolves, patients may experience unsteadiness for weeks as the vestibular system gradually accommodates. Treatment is usually symptomatic after one ensures that the patient does not have a central etiology of symptoms, such as Wallenberg syndrome. Drugs such as meclizine, promethazine, or prochlorperazine are useful in suppressing vertigo and nausea and vomiting, which can be distressing.


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