Difference between revisions of "Labyrinthitis"

(Text replacement - "==References== " to "==References== <references/> ")
 
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*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 treatment
 
*Acute suppurative labyrinthitis is only cause of peripheral vertigo requiring urgent treatment
*Some sources consider [[Vestibular Neuritis]] and Labyrinthitis to be the same thing
+
*Some sources consider [[vestibular Neuritis]] and labyrinthitis to be the same thing
 
**Some differentiate based on auditory symptoms
 
**Some differentiate based on auditory symptoms
  
 
==Clinical Features==
 
==Clinical Features==
*Peripheral vertigo + hearing loss + middle ear findings
+
*Peripheral [[vertigo]] + [[hearing loss]] + middle ear findings
 
**Severity depends on type of labyrinthitis:
 
**Severity depends on type of labyrinthitis:
 
***Acute suppurative labyrinthitis
 
***Acute suppurative labyrinthitis
****Caused by extension of infection from otitis media, meningitis, mastoiditis
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****Caused by extension of infection from [[otitis media]], [[meningitis]], [[mastoiditis]]
 
****Signs of toxicity
 
****Signs of toxicity
 
***Serous labyrinthitis
 
***Serous labyrinthitis
****Caused by inflammatory respones to nearby infections (including viral)
+
****Caused by inflammatory response to nearby infections (including viral)
 
****Clinical course similar to [[Vestibular Neuritis (Neuronitis)]]
 
****Clinical course similar to [[Vestibular Neuritis (Neuronitis)]]
  
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==Management==
 
==Management==
*Suppurative form requires antibiotics
+
*Suppurative form requires [[antibiotics]]
*Prochlorperazine  10mg PO q6 PRN for nausea/vomiting
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*[[Prochlorperazine]] 10mg PO q6 PRN for [[nausea/vomiting]]
*Lorazepam '''OR''' diazepam as vestibular depressant
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*[[Lorazepam]] '''OR''' diazepam as vestibular depressant
 
*Bed rest and hydration
 
*Bed rest and hydration
*Corticosteroids controversial especially in concomitant suppurative form
+
*[[Corticosteroids]] controversial especially in concomitant suppurative form
  
 
==Disposition==
 
==Disposition==

Latest revision as of 21:01, 30 September 2019

Some sources consider vestibular neuritis and labyrinthitis to be the same thing (some differentiate based on auditory symptoms)

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 treatment
  • Some sources consider vestibular Neuritis and labyrinthitis to be the same thing
    • Some differentiate based on auditory symptoms

Clinical Features

Differential Diagnosis

Vertigo

Evaluation

See Vertigo

Management

Disposition

  • Suppurative form require admission for definitive ENT treatment

See Also

References