VESTIBULAR NEURONITIS: A CASE REPORT

Year 2020, , 189 - 195, 26.04.2020

Deniz Uğur Cengiz , Mehmet Tan Zeynep Sağlam Tuba Bayındır

https://doi.org/10.33715/inonusaglik.712292

Abstract

Vestibular neuronitis (VN) is a selective, acute or subacute inflammation of the vestibular nerve. The typical VN clinical picture is generally characterized by signs of isolated vestibular syndrome following a previous upper respiratory tract infection and does not present acoustic symptoms or signs such as hearing impairment or tinnitus at this stage. Patients may also complain of oscillopsia and imbalance. The clinical picture peaks within 1–2 days and resolves in a few weeks. It is the 3rd common cause of peripheral vertigo after benign paroxysmal positional vertigo and Meniere’s disease. It constitutes about 7–10% of all vertigo cases.

Keywords

Vestibular neuronitis, , Vestibular diseases, , Vertigo

Vestibüler Nörinit: Olgu Sunumu

Abstract

Vestibülernörinit (VN), vestibüler sinirin selektif, akutya da subakut inflamasyonudur. Tipik VN klinik tablosu, genellikle geçirilmiş bir üst solunum yolu infeksiyonunu takiben izole vestibüler sendrom bulguları ile karakterizedir ve bu süreçte işitme azlığıya da kulak çınlaması gibi akustik semptom ve bulgu vermemektedir. Ayrıca hastalar osilopsi ve dengesizlikten de yakınabilirler. Klinik tablo 1-2 gün içinde pik yapar ve birkaç haftada düzelir. Vestibüler nörinit çoğunlukla süperior vestibüler siniri tutmaktadır. Süperior vestibüler sinir; süperior semisirküler kanal, lateral semsirküler kanal ve utrikülü inerve etmektedir.

Keywords

Vestibular neuronitis, Vestibular diseases, Vertigo

References

• Ardıç FN, Tümkaya F. Periferik Vestibüler hastalıklarda kanıta dayalı ilaç tedavisi, Vestibular Medical Treatment, Turk Arch Otolaryngol, 2014;52:61-6.
• Colebatch JG, Rosengren SM, Welgampola MS. Vestibular-evoked myogenic potentials, Handbook of Clinical Neurology, (3rd series) Neuro-Otology, 2016;137:133-55.
• Derebery MJ. The diagnosis and treatment of dizziness, Med Clin of North Am, 1999;83(1):163-77.
• Halmagyi GM, Aw ST, Karlberg M, Curthoys IS, Todd MJ. Inferior vestibular neuronitis, Ann. N.Y. Acad. Sci., 2002;956:306–313.
• Jeong SH, Kim HJ, Kim JS. Vestibular neuritis, Semin Neurol, 2013;33(3):185-94.
• Kim JS, Kim HJ. Inferior vestibular neuritis, J Neurol, 2012;259:1553–1560.
• Michael S, Marianne D, Thomas B. The treatment and natural course of peripheral and central vertigo, Dtsch ArzteblInt, 2013;110:505−16.
• Nathan E, Pierce NE, Patrick J. Antonelli Endolymphatic hydrops perspectives, Curr Opin Otolaryngol Head Neck Surg, 2012;20:416–419.
• Soo Shin B, Young Oh S, Soo Kim J, Woo Kim T, Wook Seo M, Lee H, Ae Park Y. Cervical and ocular vestibular-evoked myogenic potentials in acute vestibular neuritis Clinical, Neurophysiology Clinical Neurophysiology, 2012;123:369–375.
• Tjernström F, Nyström A, Magnusson M. How to uncover the covert saccade during the head impulse test, Otol Neurotol, 2012;33:1583-5.
• Tusa RJ. Vertigo, Neurologic Clinics, 2001;19(1):23-55.