Vestibular Neuronitis Follow-up

Updated: Mar 23, 2017
  • Author: Keith A Marill, MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Follow-up

Further Outpatient Care

Refer patients for rapid follow-up to their primary care physician, a neurologist, or ear, nose, and throat specialist.

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Further Inpatient Care

Consider admission for patients who have persistent vomiting despite treatment and for patients unable to walk satisfactorily.

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Inpatient & Outpatient Medications

Outpatient treatment usually continues after discharge.

Multiple oral medicines are available.

In most cases, the brain rapidly compensates and adjusts to the new vestibular deficit, or the inflammatory process resolves.

Evidence indicates many sedating medicines commonly used for this condition may slow recovery. Thus, medical treatment may reduce symptoms but prolong recovery.

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Prognosis

Most patients recover from severe vertigo and imbalance within 1 week.

A minority have recurrent, less severe attacks or persistent symptoms. The likelihood of incomplete long-term recovery can be predicted based on initial bedside testing. [19]

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Patient Education

In general, movement and activity, to the extent they can be tolerated by the patient, may hasten cerebral compensation and recovery. Eventually, patients can be taught exercises of the eyes and neck to hasten cerebral compensation and recovery. Exercises are seldom practical during the acute episode because of patient discomfort.

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