Vestibular Neuronitis

It is a clinical picture characterized by sudden onset of very severe dizziness. In addition to dizziness, patients have severe nausea and vomiting. It is a picture that puts the patient in a lot of trouble. Dizziness can last for days. When treatment is not started, the disease is characterized by severe dizziness that continues uninterrupted for the first 2-3 days. Generally, after the 3rd day, the dizziness subsides, but it takes 3-4 weeks for the patient to recover completely. The disease occurs due to viral infection of the balance nerve. The most frequently accused virus is Herpes group viruses. Since the infection only affects the balance-related part of the inner ear, patients do not have hearing problems.

In addition to the history, the diagnosis of the disease is made by normal hearing in the audiological evaluation and the detection of canal paralysis in the caloric test.

In the acute phase of treatment, antivertigenous and antiemetic drugs are used to relieve symptoms in the first few days. In recent years, corticosteroids are thought to shorten the course of the disease. In order to accelerate the recovery of the patients, vestibular exercises should be started as soon as possible. The applied antivertigenous treatment should not exceed 3 days. As the duration of drug use is prolonged, the recovery period of the disease will be delayed.

Although a complete clinical improvement is achieved in patients within 3-4 weeks, the functions of the balance nerve may not always improve. Although the dizziness in these patients goes away, patients may feel short-term dizziness and instability during rapid head movements.

Some patients may develop BPPV after vestibular neuronitis. It also needs to be treated separately.

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