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A dysfunction of the vestibular system that causes sudden and severe VERTIGO (sensation of spinning) with accompanying NAUSEA, VOMITING, and balance disturbances. The distinguishing symptoms of vestibular neuronitis are severe vertigo and one-sided balance disturbances without TINNITUS or HEARING LOSS. The diagnostic path is fairly straightforward; any pattern of vestibular disturbance that includes additional symptoms is likely to have a different cause.
Imaging procedures are not likely to offer diagnostic information unless the doctor is uncertain of the diagnosis, in which case MAGNETIC RESONANCE IMAGING (MRI) or COMPUTED TOMOGRAPHY (CT) SCAN can rule out other conditions such as ACOUSTIC NEUROMA.
The VIRUS causing the vestibular neuronitis must run its course, which typically takes 10 to 14 days. Because doctors do not know for certain what causes vestibular neuronitis, they cannot identify risk factors or preventive measures. High intensity interval training (HIIT) has been growing in popularity in the past few years.

During this time, certain ANTIHISTAMINE MEDICATIONS used to treat motion sickness can provide relief from the vertigo and associated nausea.
Prompt diagnosis and treatment help relieve symptoms more quickly but do not appear to alter the course of the inflammation or affect the likelihood of RECURRENCE.
Because hearing remains unaffected, doctors believe the INFECTION inflames the vestibular NERVE, the branch of the eighth cranial nerve (vestibulocochlear nerve) leading from the vestibular structures to the BRAIN. These antihistamines include the prescription medications hydroxyzine (Atarax, Vistaril) and promethazine (Phenergan) and the over-the-counter products dimenhydrinate (Dramamine), meclizine (Antivert, Bonine) and diphenhydramine (Benadryl). INFLAMMATION causes the vestibular nerve to transmit confused and erroneous signals to the brain. The two prescription medications diazepam (Valium) and clonazepam (Klonopin) appear to act on the vestibular system directly to subdue the vertigo, though cause more sedation than antihistamines and can be addictive when used for an extended period of time.
The brain responds to the incoming signals as though they were legitimate, instructing the body to react to movement that is not occurring or failing to direct reaction when there is movement.

The symptoms often are debilitating, with the person falling toward the affected side when attempting to walk and sometimes when attempting to sit upright. Symptoms appear abruptly though often follow a cold or occur among groups of people who are in close contact. Most people recover completely and are free from residual consequences in three to four weeks. A small percentage experiences recurrent episodes over the following months to years, though the severity of symptoms diminishes with each episode.

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21.10.2013 admin

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