Labyrinthitis: Difference between revisions
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***Serous labyrinthitis | ***Serous labyrinthitis | ||
****Caused by inflammatory respones to nearby infections (including viral) | ****Caused by inflammatory respones to nearby infections (including viral) | ||
****Clinical course similar to [[Vestibular | ****Clinical course similar to [[Vestibular Neuritis (Neuronitis)]] | ||
==Treatment== | ==Treatment== | ||
Revision as of 07:00, 4 October 2011
Background
- Infection of cochlear and vestibular apparatus (from middle ear via round/oval windows)
- Acute suppurative labyrinthitis is only cause of peripheral vertigo requiring urgent tx
Clinical Features
- Peripheral vertigo + hearing loss + middle ear findings
- Severity depends on type of labyrinthitis:
- Acute suppurative labyrinthitis
- Caused by extension of infection from otitis media, meningitis, mastoiditis
- Signs of toxicity
- Serous labyrinthitis
- Caused by inflammatory respones to nearby infections (including viral)
- Clinical course similar to Vestibular Neuritis (Neuronitis)
- Acute suppurative labyrinthitis
- Severity depends on type of labyrinthitis:
Treatment
- Suppurative form requires abx
Disposition
- Suppurative form require admission for definitive ENT treatment
Source
Tintinalli