Vestibular Neuronitis (Labyrinthitis)

Vestibular neuritis, also known by the name vestibular neuronitis, is thought to be caused by inflammation of the vestibular portion of the eighth cranial nerve and classically presents with vertigo, nausea, and gait imbalance. It is believed to be associated with preceding or accompanying viral infection. It is considered a benign, self-limited condition that typically lasts several days, but can take weeks to months for all vestibular symptoms to completely resolve. Vestibular neuritis is a clinical diagnosis, and it’s the clinician's task to differentiate this benign self-limiting disease from other central causes such as cerebrovascular syndromes, which may share a similar history and physical exam findings. The mainstay in medical treatment for vestibular neuritis is generally supportive, often consisting of antiemetics, antihistamines, and benzodiazepines.[1][2] Vestibular rehabilitation should start once the initial bouts of nausea and vomiting are under control.[3]