Vestibular Neuritis Quiz

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Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Rohini R, MD

Rohini R, MD (Otolaryngology (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

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Content updated on Mar 31, 2024

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How Ubie Can Help You

With an easy 3-min questionnaire , Ubie's AI-powered system will generate a free report on possible causes.

Questions are customized to your situation and symptoms, including the following personal information:

  • Biological Sex - helps us provide relevant suggestions for male vs. female conditions.

  • Age - adjusts our guidance based on any age-related health factors.

  • History - considers past illnesses, surgeries, family history, and lifestyle choices.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Dizziness multiple times

  • Dizzy when standing up

  • Dizzy in the morning

  • Dizziness when looking up

  • Nausea improves with vomiting

  • Lightheadedness when I am standing

  • Feeling faint

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What is Vestibular Neuritis?

Vestibular neuritis is inflammation of the vestibular nerve, which connects the inner ear to the brain and maintains balance sensation. Typical symptoms of vestibular neuritis include sudden dizziness, balance/walking problems, nausea, and vomiting. The disorder is usually caused by a viral infection of the inner ear, or appear following a viral infection outside the ear (e.g., common cold or influenza). Most epiodes resolve by a few weeks, although vague balance problems may persist for a few months.

Typical Symptoms of Vestibular Neuritis

  • Dizziness

  • I feel like I'm spinning around / vertigo

  • Small involuntary side-to-side eye movements

  • Nausea or vomiting

  • Headache

  • Difficulty standing up from sitting position

  • Sensation of imbalance as if floating when at sea

  • Hearing difficulty

Doctor's Diagnostic Questionson Vestibular Neuritis

Your doctor may ask these questions to check for this disease:

  • Are you currently dizzy?

  • Do you feel like your surroundings are spinning?

  • Are your eyes continuing to make small involuntary side-to-side movements?

  • Are you feeling nauseous or have you been vomiting?

  • Do you have headaches or a heavy feeling in your head?

Treatmentof Vestibular Neuritis

Treatment consists of medications to reduce inflammation, reduce symptoms of nausea, vomiting, dizziness, and balance problems. Vestibular exercises (rehabilitation) has also been shown to be effective in reducing symptoms.

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Vestibular Neuritis

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References

  • Strupp M, Bisdorff A, Furman J, Hornibrook J, Jahn K, Maire R, Newman-Toker D, Magnusson M. Acute unilateral vestibulopathy/vestibular neuritis: Diagnostic criteria. J Vestib Res. 2022;32(5):389-406. doi: 10.3233/VES-220201. PMID: 35723133; PMCID: PMC9661346.

    https://content.iospress.com/articles/journal-of-vestibular-research/ves220201

  • Walter AJ. Vestibular neuritis. CMAJ. 2020 Jun 22;192(25):E686. doi: 10.1503/cmaj.75014. PMID: 32571885; PMCID: PMC7828859.

    https://www.cmaj.ca/content/192/25/E686

  • Tokle G, Mørkved S, Bråthen G, Goplen FK, Salvesen Ø, Arnesen H, Holmeslet B, Nordahl SHG, Wilhelmsen KT. Efficacy of Vestibular Rehabilitation Following Acute Vestibular Neuritis: A Randomized Controlled Trial. Otol Neurotol. 2020 Jan;41(1):78-85. doi: 10.1097/MAO.0000000000002443. PMID: 31789800.

    https://journals.lww.com/otology-neurotology/Abstract/2020/01000/Efficacy_of_Vestibular_Rehabilitation_Following.20.aspx

  • Bronstein AM, Dieterich M. Long-term clinical outcome in vestibular neuritis. Curr Opin Neurol. 2019 Feb;32(1):174-180. doi: 10.1097/WCO.0000000000000652. PMID: 30566414.

    https://journals.lww.com/co-neurology/Abstract/2019/02000/Long_term_clinical_outcome_in_vestibular_neuritis.27.aspx

  • Le TN, Westerberg BD, Lea J. Vestibular Neuritis: Recent Advances in Etiology, Diagnostic Evaluation, and Treatment. Adv Otorhinolaryngol. 2019;82:87-92. doi: 10.1159/000490275. Epub 2019 Jan 15. PMID: 30947184.

    https://www.karger.com/Article/Abstract/490275

  • Jeong SH, Kim HJ, Kim JS. Vestibular neuritis. Semin Neurol. 2013 Jul;33(3):185-94. doi: 10.1055/s-0033-1354598. Epub 2013 Sep 21. PMID: 24057821.

    https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0033-1354598

  • Fishman JM, Burgess C, Waddell A. Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis). Cochrane Database Syst Rev. 2011 May 11;(5):CD008607. doi: 10.1002/14651858.CD008607.pub2. PMID: 21563170.

    https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008607.pub2/full

User Testimonials

Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Rohini R, MD

Rohini R, MD (Otolaryngology (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

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