Vestibular Neuritis or Llabyrinthitis
Ear Nose | Otorhinolaryngology | Vestibular Neuritis or Llabyrinthitis (Disease)
Vestibular neuritis is an infection of the vestibular nerve. The most common cases of vestibular neuritis are infections and vascular diseases and pharmaceutical drugs and poisoning with foreign substances.
A typical neuritis is suddenly started. A strong vertigo and puked constantly, both in increasing the rate from trying to stand during head movements. In a majority of cases, these symptoms disappear in 2 or 3 days. After this phase, sometimes remains linear acceleration motion illusion (e. g. moving an elevator or in a car crash). This may manifest as a feeling inclined plane of the visual field, or a body falling or rising to the position.
Causes and Risk factors
The infectious causes include infection with herpes type virus, cytomegalovirus, EBV virus, adenovirus, with influenza and parainfluenza viruses type A and B, type measles virus, and varicella. vestibular neuritis can be the spirochetes and yeasts. A vascular disease is most often seen in elderly patients with risk of occurrence of cardiovascular disease (people over 50 years old, smokers, patients with disorders of fat metabolism, with high blood pressure, diabetes, cardiac arrhythmia).
Diagnosis and Treatment
Full recovery comes in 2 to 3 weeks after that, due to vestibular compensation, which consists of normalizing function properly if the appliance vestibular. In neuritis, the diagnosis is established, usually on the patient complaining of pain. It is not necessary to perform auxiliary examinations. In cases where symptoms persist for more than a month, or recurring, it is necessary to consider a different cause of symptoms (or illness). All tranquilizers (i. e. relieving drugs) and sedatives inhibit vestibular function, which means that the slow process of vestibular compensation. That is why to avoid. Medication against vomiting (antiemetic) and sedatives should be used in a limited dose when not affect vestibular compensation process.
The best approach is treatment with drugs that improve vestibular function. In patients with balance problems when walking and / or vertigo, which persisted for several weeks, is recommended so-called facial gymnastics. The main purpose of these measures is to stabilize, while eliminating spontaneous nystagmus. ...