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Updated: May 7, 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

Vestibular neuritis.

Seong-Hae Jeong¹, Hyo-Jung Kim, Ji-Soo Kim

¹Department of Neurology, Chungnam National University Hospital, Daejeon, Korea.

Seminars in Neurology

|September 24, 2013

Summary

This summary is machine-generated.

Vestibular neuritis, a common cause of vertigo, results from acute vestibular dysfunction, likely from herpes simplex virus reactivation. Early diagnosis and vestibular rehabilitation are key for recovery, with imaging advised for atypical symptoms.

Related Experiment Videos

Last Updated: May 7, 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
Neuroscience

Background:

Vestibular neuritis is the leading cause of acute, spontaneous vertigo.
It is characterized by sudden, unilateral loss of vestibular nerve function, often linked to herpes simplex virus reactivation.
The condition typically affects the superior vestibular nerve, impacting specific semicircular canals and the saccule.

Purpose of the Study:

To outline the diagnostic criteria for vestibular neuritis.
To differentiate typical vestibular neuritis from its rare inferior subtype.
To provide guidance on when neuroimaging is indicated and discuss management strategies.

Main Methods:

Review of clinical presentation and diagnostic hallmarks of vestibular neuritis.
Description of characteristic findings: nystagmus, head impulse test, caloric response, and vestibular-evoked myogenic potentials.
Discussion of differential diagnosis, including inferior vestibular neuritis and central vestibular disorders.

Main Results:

Diagnostic hallmarks include specific nystagmus, abnormal head impulse test, caloric paresis, and reduced VEMP responses.
Inferior vestibular neuritis presents atypically, risking misdiagnosis.
Brain imaging is recommended for atypical presentations, severe symptoms, or lack of rapid improvement.

Conclusions:

Vestibular neuritis diagnosis relies on a constellation of clinical signs.
Awareness of atypical presentations like inferior vestibular neuritis is crucial to avoid misdiagnosis.
Symptomatic treatment and vestibular rehabilitation are mainstays of management, while steroid efficacy needs further study.