Labyrinthitis: Difference between revisions
| Line 2: | Line 2: | ||
*Infection of cochlear and vestibular apparatus (from middle ear via round/oval windows) | *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 | *Acute suppurative labyrinthitis is only cause of peripheral vertigo requiring urgent tx | ||
*Some sources consider [[Vestibular Neuritis]] and Labyrinthitis to be the same thing | |||
**Some differentiate based on auditory symptoms | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 04:41, 29 February 2012
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
- Some sources consider Vestibular Neuritis and Labyrinthitis to be the same thing
- Some differentiate based on auditory symptoms
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
See Also
Source
Tintinalli