Vestibular neuritis presenting in pregnancy: case report of rare entity and treatment options

Abstract

Vestibular neuritis in pregnancy is not often and it may be difficult for obstetricians and ENT doctors to evaluate a pregnant woman and to choose best treatment because of drug contrandications. A 33-year-old woman presented with vertigo at 28 weeks of the gestation. After physical examination and audiological and vestibular tests, vestibular neuritis was diagnosed, and the treatment was initiated. The patient completely recovered without any complaints; neither vestibular nor gynecological. There are few studies in the literature pointing out the evaluation of pregnant women with vestibular neuritis. However, there are safe ways to manage such patients.

Keywords

• pregnancy,vertigo,vestibular neuritis,treatment

References

1. [1] Schmidt PM, Flores Fda T, Rossi AG, Silveira AF. Hearing and vestibular complaints during pregnancy. Braz J Otorhinolaryngol 2010;76:29-33.
2. [2] Nola G, Guastini L, Crippa B, Deiana M, Mora R, Ralli G. Vestibular evoked myogenic potential in vestibular neuritis. Eur Arch Otorhinolaryngol 2011;268:1671-7.
3. [3] Vlastarakos PV, Nikolopoulos TP, Manolopoulos L, Ferekidis E, Kreatsas G. Treating common ear problems in pregnancy: what is safe? Eur Arch Otorhinolaryngol 2008;265:139-45.
4. [4] Kjaer D, Horvath-Puhó E, Christensen J, Vestergaard M, Czeizel AE, Sørensen HT, et al. Use of phenytoin, phenobarbital or diazepam during pregnancy and risk of congenital abnormalities: a case-time-control study. Pharmacoepidemiol Drug Saf 2007;16:181-8.
5. [5] Goudakos JK, Markou KD, Franco-Vidal V, Vital V, Tsaligopoulos M, Darrouzet V. Corticosteroids in the treatment of vestibular neuritis: a systematic review and meta-analysis. Otol Neurotol 2010;31:183-9.
6. [6] Matok I, Gorodischer R, Koren G, Sheiner E, Wiznitzer A, Levy A. The safety of metoclopramide use in the first trimester of pregnancy. N Eng J Med 2009;360:2528-35.
7. [7] Davis LL, O’Leary DP. Combined treatment as an effective method of vestibular rehabilitation. An Otorrinolaringol Mex 1994;39:19-24.