Res Vestib Sci.  2016 Dec;15(4):112-120. 10.21790/rvs.2016.15.4.112.

Acute Vestibular Neuritis and Ramsay-Hunt Syndrome

Affiliations
  • 1Department of Otorhinolaryngology, Catholic Kwandong University College of Medicine, Incheon, Korea. minbumkim78@gmail.com

Abstract

Acute vestibular neuritis is the disorder characterized by acute, spontaneous vertigo with the unilateral vestibular loss. Reactivation of herpes simplex virus is considered as its cause. Its management consists of symptomatic therapy in the acute phase and following rehabilitation exercise to improve central compensation. The differential diagnosis should include central vestibular disorders mimicking peripheral vertigo. Ramsay-Hunt syndrome, which defined as a herpes zoster oticus with facial paresis, is also a disorder frequently accompanied with vestibular deficit. Combination therapy of acyclovir and corticosteroid is recommended for the treatment. In this review, diagnosis and management of the two disorders are described.

Keyword

Vertigo; Acute vestibular neuritis; Ramsay-Hunt syndrome

MeSH Terms

Acyclovir
Compensation and Redress
Diagnosis
Diagnosis, Differential
Facial Paralysis
Herpes Zoster Oticus
Rehabilitation
Simplexvirus
Vertigo
Vestibular Neuronitis*
Acyclovir
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