The patient who is having a first attack of acute spontaneous vertigo may have acute vestibular neuritis or a cerebellar infarction.
Differential diagnosis of vertigo Peripheral Central Common Common * BPPV * Phobic postural vertigo * Vestibular neuritis * Vestibular migraine * Meniere's disease * Pathological forms of nystagmus, e.
Methylprednisolone, starting at 100 mg/d and tapering to 10 mg over 3 weeks, is an effective treatment for vestibular neuritis.
Vestibular neuritis is characterized by sustained rotatory vertigo, positive Romberg's sign falling toward the affected ear, horizontal nystagmus toward the unaffected ear, and nausea.
presents with a subacute onset over hours of incapacitating vertigo, nausea and vomiting because of unilateral loss of vestibular function.
In patients with suspected vestibular neuritis
, do any pharmacotherapies speed symptom resolution compared with watchful waiting?
is commonly diagnosed by a finding of unilateral vestibular failure, such as a loss of caloric response.
VEMP testing has been used in patients with cerebrovascular accidents, (1) acoustic neuromas, (2) vestibular neuritis
, (3) herpes zoster oticus, (3) Meniere disease, (3) and superior semicircular canal dehiscence.
Common causes of BPPV are head trauma and vestibular neuritis
, but the etiology is unknown in most cases.
We conclude that repeated measurements of the static visual vertical can be useful as a follow-up tool for patients with vestibular neuritis
In diagnosing Meniere's disease, it is necessary to exclude other conditions, such as recurrent vestibulopathology, vestibular neuritis
, and sensorineural hearing loss.