Understanding Labyrinthitis and Vestibular Neuritis

A Patient's Guide to Inner Ear Inflammation and Balance Disorders

Neurology

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Last updated: Mar 24, 2025

What Are These Conditions?

Labyrinthitis and vestibular neuritis are related inner ear disorders that can affect your balance and hearing. While similar, they have distinct characteristics:

  • Labyrinthitis: Inflammation affecting both the vestibular nerve and cochlea
  • Vestibular Neuritis: Inflammation of only the vestibular nerve

Common Symptoms

Primary Symptoms

  • Severe vertigo (spinning sensation)
  • Balance problems
  • Nausea and vomiting
  • Difficulty focusing eyes

Additional Symptoms in Labyrinthitis

  • Hearing loss
  • Tinnitus (ringing in ears)
  • Ear pain or pressure

Causes and Risk Factors

  • Viral infections (most common)
  • Upper respiratory infections
  • Bacterial infections (rare)
  • Stress
  • Autoimmune conditions

Diagnosis

Common Tests Include:

  1. Physical examination
  2. Hearing tests
  3. Balance testing
  4. Head impulse test
  5. Caloric testing

Treatment Options

Immediate Relief

  • Vestibular suppressant medications
  • Anti-nausea medications
  • Bed rest during acute phase

Long-term Management

  • Vestibular rehabilitation therapy
  • Gradual return to normal activities
  • Treatment of underlying causes

Recovery Timeline

  • Acute phase: 1-3 days
  • Initial recovery: 1-3 weeks
  • Complete recovery: Several weeks to months

When to Seek Medical Care

Emergency Symptoms:

  • Severe vertigo with inability to stand
  • Sudden hearing loss
  • Facial weakness
  • Severe headache
  • High fever

Prevention

  • Good hand hygiene
  • Avoiding sick contacts
  • Managing stress
  • Maintaining overall health

Living with the Condition

Lifestyle Adaptations

  • Avoid sudden movements
  • Ensure adequate lighting
  • Remove trip hazards
  • Get sufficient rest

Prognosis

Most patients make a full recovery with proper treatment and time. Some may experience mild residual symptoms that typically improve with vestibular rehabilitation.

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