VESTIBULAR NEURITIS AS THE CAUSE OF SYSTEMIC VERTIGO
https://doi.org/10.20514/2226-6704-2017-7-5-398-402
Abstract
The Vestibular Neuritis is often mistakenly diagnosed pathology manifested by a sudden acute systemic dizziness, nausea, vomiting, unsteadiness when walking and peripheral nystagmus. The Vestibular Neuritis often occurs under the guise of different diseases — migraine, Meniere’s disease, acute disorders of cerebral circulation and others. The vestibular Neuritis is a quite rare pathology, which may cause diagnostic difficulties for physicians of different specialties. As the diagnosis of “vestibular neuritis” is primarily a “diagnosis of exclusion”, it is necessary to know peculiarities of clinical picture, course and differential diagnosis with other similar netalogue. The diagnosis of the disease requires the joint and coordinated work of medical specialists: neurologists, ENT, specialists of functional and laboratory diagnostics and laboratory services. Due to the low awareness of this disease doctors of different specialties often make mistakes in diagnosis and treatment. The article presents a clinical case of development of the vestibular Neuritis under the guise of ischemic stroke in the vertebral-basilar pool as an example of the difficulties of differential diagnosis in clinical practice. On the example of a clinical case the course of the disease and possible complications that can occur during this nosology are considered.
About the Authors
K. A. Demina
Federal State Budgefary Educational institution of Higher Professional Education Amur medical academy of Minzdrav of Russia, the department of nervous disease, psychiatry and narcology
Russian Federation
Blagoveshchensk, Amur region, Russia
Russian Federation
Blagoveshchensk, Amur region, Russia
P. S. Nikitenko
Federal State Budgefary Educational institution of Higher Professional Education Amur medical academy of Minzdrav of Russia, the department of nervous disease, psychiatry and narcology
Russian Federation
Blagoveshchensk, Amur region, Russia
Russian Federation
Blagoveshchensk, Amur region, Russia
References
1. Бронштейн А., Лемперт Т. Головокружение. пер. с англ. Е.В. Гузь; под ред. В.А. Парфёнова; предисл. Н.Н. Яхно. М.: ГЭОТАР-Медиа. 2010; 216 с. Bronshteyn A., Lempert T. Dizziness: a practical approach to diagnosis and management. translation from English. E.V. Guz; edited by V.A. Parfenov; preface by N.N. Yakhno. M.: GEOTAR-Media. 2010; 216 p. [in Russian].
2. Замерград М.В. Вестибулярный нейронит. РМЖ. 2008; 12: 1630. Zamergrad M.V. Vestibular neuritis. RMJ. 2008; 12: 1630. [in Russian].
3. Arbusow V., Schulz P., Strupp M., Dieterich M., Von Reinhardstoettner A., Rauch E., Brandt T. Distribution of herpes simplex virus type 1 in human geniculate and vestibular ganglia: implications for vestibular neuritis. Ann. Neurol. 1999; 46(3): 416–419.
4. Arbusow V., Theil D., Strupp M., Mascolo A., Brandt T. HSV-1 not only in human vestibular ganglia but also in the vestibular labyrinth. Audiol Neurootol 2001; 6(5): 259–262.
5. Baloh R.W., Ishiyama A., Wackym P.A., Honrubia V. Vestibular neuritis: clinicalpathologic correlation. Otolaryngol. Head. Neck. Surgery. 1996; 114(4): 586-592.
6. Baloh R.W. Clinical practice. Vestibular neuritis. N. Engl. J. Med. 2003; 348(11): 1027–1032.
7. Brandt T. Phobic postural vertigo. Neurology. 1996; 46(6): 1515–1519.
8. Brandt T. Vertigo: Its Multisensory Syndromes. London, England: Springer. 2004. 9. Brandt T., Dieterich M. Phobischer Attacken Schwankwindel, ein neues Syndrom. Munch Med. Wochenschr. 1986; 128: 247–250.
9. Brandt T., Dieterich M., Strupp M. Vertigo and Dizziness: Common Complaints. London: Springer. 2005.
10. Brandt T., Strupp M., Arbusow V., Dieringer N. Plasticity of the vestibular system: central compensation and sensory substitution for vestibular deficits. Adv. Neurol. 1997; 73: 297–309.
11. Brill G. Acute labyrinthitis: a possible association with influenza. J. R. Coll. Gen. Pract. 1982; 32: 47-50.
12. Buchele W., Brandt T. Vestibular neuronitis—a horizontal semicircular canal paresis. Adv. Otorhinolaryngol. 1988; 42: 157–161.
13. Cnyrim C.D., Newman-Toker D., Karch C., Brandt T., Strupp M. Bedside differentiation of vestibular neuritis from central «vestibular pseudoneuritis». J. Neurol. Neurosurg. Psychiatry 2008; 79(4): 458–460.
14. Coats A.C., Herbert F., Atwood G.R. The air caloric test. Arch. Otolaryngol. 1976; 102: 343-354.
15. Cooksey F.S., Rehabilitation in vestibular injuries. Proceedings of the Royal Society of Medicine. 1946; 39(5): 273–278.
16. Cooper J.C., Mason R.L. Variability of air calorics vs water: statistical implications. Arch. Otolaryngol. 1979; 105: 113-115.
17. Dalsgaard-Nielsen T., Further clinical studies on epidemic vertigo, névraxite vertigineuse. Acta Psychiatr. Neurol. Scand. 1953; 28(3-4): 263-267.
18. Davis L.E., Johnson R.T. Experimental viral infections of the inner ear. I. Acute infections of the newborn hamster labyrinth. Laboratory Investigation. 1976; 34(4): 349–356.
19. Davis L.E. Viruses and vestibular neuritis: review of human and animal studies. Acta Oto-Laryngologica, Supplement. 1993; 503: 70–73.
20. Denise Utsch Gonçalves, Lilian Felipe, Tânia Mara Assis Lima. Interpretation and use of caloric testing. Rev. Bras. Otorrinolaringol. 2008; 74(3): 440-446.
21. Dix M.R., Hallpike C.S. The pathology, symptomatology, and diagnosis of certain common disorders of the vestibular system. Proc. R. Soc. Med. 1952 Jun; 45(6): 341–354.
22. Eggers S.D., Zee D. Vertigo and Imbalance: Clinical Neurophysiology of the Vestibular System. Handbook of Clinical Neurophysiology. 2010; 9: 3-575.
23. Furuta Y., Takasu T., Fukuda S., Inuyama Y., Sato K.C., Nagashima K. Latent herpes simplex virus type 1 in human vestibular ganglia. Acta Otolaryngol. Suppl. 1993; 503: 85–89.
24. Greco A., Macri G.F., Gallo A., Fusconi M., De Virgilio A., Pagliuca G., Marinelli C., de Vincentiis M.. Is vestibular neuritis an immune related vestibular neuropathy inducing vertigo? J. Immunol. Res. 2014; 2014:459048. doi: 10.1155/2014/459048. Epub 2014 Jan 15.
25. Grup C., Gleeson M., Rudge P. The inner ear and the neurologist. J. Neurol. Neurosurg. Psychiatry.2007; 78(2): 114-122.
26. Hillier S.L., Hollohan V., Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database of Systematic Reviews (Online) 2007; 4: CD005397.
27. Hirata Y., Gyo K., and Yanagihara N. Herpetic vestibular neuritis: an experimental study. Acta Oto-Laryngologica, Supplement. 1995; 519: 93–96.
28. Hirata Y., Sugita T., Gyo K., and Yanagihara N. Experimental vestibular neuritis induced by herpes simplex virus. Acta OtoLaryngologica, Supplement.1993; 503: 79–81.
29. Huang C.Y., Yu Y.L. Small сerebellar strokes may mimic labyrinthine lesions. Journal of Neurology, Neurosurgery, and Psychiatry. 1985; 48: 263-265.
30. Huppert D., Strupp M., Theil D., Glaser M., Brandt T. Low recurrence rate of vestibular neuritis: a long-term follow-up. Neurology. 2006 Nov 28; 67(10): 1870-1871.
31. Karlberg, Mikael L.-Å.; Magnusson, Måns. Treatment of acute vestibular neuronitis with glucocorticoids. Otology and Neurotology. 2011; 32(7): 1140–1143.
32. Keith A. Marill. Vestibular Neuronitis. Retrieved 2008-06-28.
33. Mandala` M., Nuti D., Broman A.T., Zee D.S. Effectiveness of careful bedside examination in assessment, diagnosis, and prognosis of vestibular neuritis Arch. Otolaryngol. Head. Neck. Surg. 2008 Feb; 134(2): 164-169.
34. Matsuo T., Vestibular neuronitis—serum and csf virus antibody titer. Auris Nasus Larynx. 1986; 13(1): 11–34.
35. Mehra Y.N. Eletronystagmography: A study of caloric tests in normal subjects. J. Laryngol. Otol. 1964; 78:.520-529.
36. Nadol J.B. Jr. Vestibular neuritis. Otolaryngol. Head. Neck. Surg. 1995 Jan; 112(1): 162-172.
37. Newman-Toker D.E., Kattah J.C., Alvernia J.E., Wang D.Z. Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis. Neurology. 2008 Jun 10; 70(24 Pt 2): 2378-2385.
38. Riesco-MacClure J.S. Caloric tests: methods and interpretation. Ann. Otol. Rhinol. Laryngol. 1964; 73: 829-837.
39. Sekitani T., Imate Y., Noguchi T., Inokuma T. Vestibular neuronitis: epidemiological survey by questionnaire in Japan Acta Otolaryngol Suppl. 1993; 503: 9-12.
40. Shuknecht H., Kitarmuar K., Vestibular neuronitis. Annals of Otology, Rhinology, and Laryngology. 1981; 90: 1–19.
41. Shupak A., Issa A., Golz A., Margalit Kaminer, Braverman I. Prednisone treatment for vestibular neuritis. Otol Neurotol. 2008 Apr; 29(3): 368-374.
42. Strupp M., Arbusow V., Maag K.P., Gall C., Brandt T. Vestibular exercises improve central vestibulespinal compensation after vestibular neuritis. Neurology. 1998; 51(3): 838–844.
43. Strupp M., Brandt T., Current treatment of vestibular, ocular motor disorders and nystagmus. Ther. Adv. Neurol. Disord. 2009; 2(4): 223-239.
44. Strupp M., Zingler V.C., Arbusow V., et al. Methylprednisolone, valacyclovir, or the combination for vestibular neuritis. N. Engl. J. Med. 2004; 351(4): 354–361.
45. Walford P. An unusual epidemic [letter]. Lancet 1952; 1: 415
46. Walford P., Vertigo and influenza. B.M.J. 1949; 1: 821–822. 48. Walker M.F. Treatment of vestibular neuritis. Curr. Treat. Options. Neurol. 2009 Jan; 11(1): 41-45.
Review
For citations:
Demina K.A., Nikitenko P.S. VESTIBULAR NEURITIS AS THE CAUSE OF SYSTEMIC VERTIGO. The Russian Archives of Internal Medicine. 2017;7(5):398-402. (In Russ.) https://doi.org/10.20514/2226-6704-2017-7-5-398-402
Views:
10910
Email this article 