Which physical findings help to exclude a diagnosis of vestibular neuronitis?

Updated: Jul 16, 2018
  • Author: Keith A Marill, MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Vestibular neuronitis is unlikely if any of the following findings are present. The following symptoms should be absent:

  • Multidirectional, nonfatiguing nystagmus suggesting vertigo of central origin

  • Hearing loss

  • Other cranial nerve deficits

  • Truncal ataxia (suggests cerebellar disease or another CNS process)

  • Inflamed tympanic membrane

  • Mastoid tenderness

  • High fever

  • Nuchal rigidity


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