• See Also
  1. Vertigo
  2. Vertigo Causes
  3. Peripheral Causes of Vertigo
  4. Central Causes of Vertigo
  5. Vertigo Management
  6. Meniere's Disease
  7. Motion Sickness
  8. Vestibular Neuronitis
  9. Benign Paroxysmal Positional Vertigo
  10. Perilymphatic Fistula (Hennebert's Sign)
  11. Acute Labyrinthitis
  12. HiNTs Exam (Three-Step Bedside Oculomotor Examination)
  13. Horizontal Head Impulse Test (Head Thrust Test, h-HIT)
  14. Nystagmus
  15. Skew Deviation (Vertical Ocular Misalignment, Vertical Heterotropia, Vertical Strabismus)
  16. Dix-Hallpike Maneuver
  17. Dizziness
  18. Dysequilibrium
  19. Syncope
  20. Light Headedness
  • Epidemiology
  1. Incidence: Rare
  • Etiology
  1. Complication of Acute or Chronic Otitis Media
  2. May be associated with Cholesteatoma
  • Symptoms
  1. Sudden onset Vertigo with severe Nausea and Vomiting
    1. Symptoms persist in first 12 hours despite immobility
  2. Complete Hearing Loss in affected ear
    1. Distinguishes Labyrinthitis from Vestibular Neuronitis
  3. Associated with Tinnitus
  • Signs
  1. Rapid Nystagmus toward opposite side
  • Course
  1. Vertigo and Nystagmus resolve over days to weeks
  2. Tinnitus resolves
  3. Hearing Loss persists
  1. Assess for Brain Abscess
  • Management
  1. Antibiotics for 10 day course
  • Complications
  1. Persistent Hearing Loss in the affected ear is the norm
  2. Meningitis from local spread