Labyrinthitis

Labyrinthitis and vestibular neuritis
Other namesOtitis interna, vestibular neuronitis, vestibular neuritis
Diagram of the inner ear
SpecialtyOtorhinolaryngology
Frequency3.5 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]

  1. ^ a b Greco, A; Macri, GF; Gallo, A; Fusconi, M; De Virgilio, A; Pagliuca, G; Marinelli, C; de Vincentiis, M (2014). "Is vestibular neuritis an immune related vestibular neuropathy inducing vertigo?". Journal of Immunology Research. 2014: 459048. doi:10.1155/2014/459048. PMC 3987789. PMID 24741601.
  2. ^ "Labyrinthitis and vestibular neuritis". 23 October 2017.
  3. ^ Ferri's Clinical Advisor 2016: 5 Books in 1. Elsevier Health Sciences. 2015. p. 735. ISBN 9780323378222.
  4. ^ Hogue, JD (June 2015). "Office Evaluation of Dizziness". Primary Care. 42 (2): 249–258. doi:10.1016/j.pop.2015.01.004. PMID 25979586.
  5. ^ "Labyrinthitis". National Library of Medicine. Retrieved 16 March 2018.
  6. ^ a b "Clinical Methods: The History, Physical, and Laboratory Examinations". Annals of Internal Medicine. 113 (7): 563. 1990-10-01. doi:10.7326/0003-4819-113-7-563_2. ISSN 0003-4819.
  7. ^ "NLM".
  8. ^ Marill, Keith (2011-01-13). "Vestibular Neuronitis: Pathology". eMedicine, Medscape Reference. Retrieved 2011-08-07.