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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Published on: August 30, 2019

Vestibular neuritis.

Michael Strupp¹, Thomas Brandt

¹Department of Neurology, University of Munich, Munich, Germany. Michael.Strupp@med.uni-muenchen.de

Seminars in Neurology

|October 17, 2009

Summary

This summary is machine-generated.

Vestibular neuritis causes sudden, severe vertigo and imbalance, often due to herpes simplex virus type 1 reactivation. Early corticosteroid treatment improves recovery rates for this common peripheral vestibular disorder.

Related Experiment Videos

Last Updated: Jun 19, 2026

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Published on: August 30, 2019

Area of Science:

Neurology
Otolaryngology
Infectious Disease

Background:

Vestibular neuritis is a common cause of peripheral vertigo, characterized by acute rotatory vertigo, nystagmus, and imbalance.
It affects 3.5 per 100,000 individuals annually and represents 7% of vertigo clinic referrals.
Herpes simplex virus type 1 reactivation is the suspected etiology, supported by viral DNA/RNA detection in vestibular ganglia.

Purpose of the Study:

To outline the clinical presentation, incidence, etiology, and management of vestibular neuritis.
To differentiate vestibular neuritis from other causes of vertigo.
To discuss the mechanisms of recovery and the role of early treatment.

Main Methods:

Clinical diagnosis based on characteristic symptoms and signs, including vertigo, nystagmus, and abnormal head impulse tests.
Exclusion of other neurological and otological conditions presenting with vertigo.
Assessment of vestibulo-ocular reflex deficits via head-impulse tests and caloric irrigation.

Main Results:

Key symptoms include acute rotatory vertigo, spontaneous nystagmus, and postural imbalance.
Head-impulse tests and caloric irrigation reveal ipsilateral vestibulo-ocular reflex deficits.
Early corticosteroid treatment is associated with a 62% recovery rate within 12 months.

Conclusions:

Vestibular neuritis is a distinct clinical entity primarily caused by HSV-1 reactivation.
Differential diagnosis is crucial, excluding conditions like vestibular pseudoneuritis, vestibular migraine, and Ménière's disease.
Recovery involves peripheral function restoration, sensory substitution, and central compensation, enhanced by vestibular exercises and early corticosteroid therapy.