Vestibular Neuritis
摘要
Vestibular neuritis (VN), also called vestibular neuronitis, is thought to be due to damage of the vestibular nerve (the “balance-related nerve” between the ear and the brain) from a bout of inflammation, though the cause of that inflammation remains unknown despite considerable research. Suspicion for vestibular neuritis is based on the clinical history and can be supported by findings on physical examination and various otovestibular tests. The standard of care for vestibular neuritis is appropriately targeted vestibular rehabilitation therapy, though even with such therapy, not all patients improve. Medications play little to no role in treatment. Recurrence of vestibular neuritis is somewhat uncommon, though an ear affected by vestibular neuritis is more susceptible to other problems, the most common of which is benign paroxysmal positional vertigo.