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Labyrinthitis and vestibular neuritis | |
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Other names | Otitis interna, vestibular neuronitis, vestibular neuritis |
Diagram of the inner ear | |
Specialty | Otorhinolaryngology |
Frequency | 3.5 cases per 100,000[1] |
Labyrinthitis is inflammation of the labyrinth, a maze of fluid-filled channels in the inner ear. Vestibular neuritis is inflammation of the vestibular nerve (the nerve in the ear that sends messages related to motion and position to the brain).[2][3][4] Both conditions involve inflammation of the inner ear.[5] Labyrinths that house the vestibular system sense changes in the head's position or the head's motion.[6] Inflammation of these inner ear parts results in a vertigo (sensation of the world spinning) and also possible hearing loss or tinnitus (ringing in the ears).[6] It can occur as a single attack, a series of attacks, or a persistent condition that diminishes over three to six weeks. It may be associated with nausea, vomiting, and eye nystagmus.
The cause is often not clear. It may be due to a virus, but it can also arise from bacterial infection, head injury, extreme stress, an allergy, or as a reaction to medication. 30% of affected people had a common cold prior to developing the disease.[1] Either bacterial or viral labyrinthitis can cause a permanent hearing loss in rare cases.[7] This appears to result from an imbalance of neuronal input between the left and right inner ears.[8]