Vestibular Neuronitis Flashcards
1
Q
what is vestibular neuronitis?
A
vertigo that often develops following a viral infection
2
Q
what are the features of vestibular neuronitis?
A
- recurrent vertigo attacks lasting hours or days
- nausea and vomiting may be present
- horizontal nystagmus
- no hearing loss or tinnitus
3
Q
what are the differentials for vestibular neuronitis?
A
- viral labyrinthitis
- posterior circulation stroke
4
Q
what can be used to differentiate between posterior circulation stroke and vestibular neuronitis?
A
HiNTs exam
5
Q
what is the management of vestibular neuronitis?
A
- buccal or IM prochlorperazine
- short oral courses (3 days) of prochlorperazine or an antihistamine may be used in less severe cases
- symptoms >1 week = vestibular rehabilitation
