gms | German Medical Science

76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

04.05. - 08.05.2005, Erfurt

Process and prognosis of Neuronitis vestibularis in the patient population of the ENT-Hospital Halberstadt between January 2002 and August 2004

Meeting Abstract

Suche in Medline nach

  • corresponding author Jörg Langer - HNO-Klinik AMEOS Klinikum St. Salvator Halberstadt GmbH
  • Klaus Begall - HNO-Klinik AMEOS Klinikum St. Salvator Halberstadt GmbH
  • Matthias Hey - HNO-Klinik AMEOS Klinikum St. Salvator Halberstadt GmbH

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno492

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2005/05hno131.shtml

Veröffentlicht: 22. September 2005

© 2005 Langer et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Patients with an acute unilateral malfunction of the vestibular part of the nervus vestibulocochlearis are common in every ENT-Clinic.

Neuronitis vestibularis is characterized by vertigo, drop inclination to the side and nystagmus. These patients suffer from vegetative symptoms like nausea and vomiting.

A central compensation of the acute malfunction of the vestibular organ often develops in the further process of this disease. Only a few authors describe the complete recovery of the vestibular organ.

57 patients with acute Neuronitis vestibularis were treated at the ENT-Hospital Halberstadt between January 2002 and August 2004.

The aim of this study was to obtain information about the process of the disease (central compensation or peripheral recovery) and the duration of vegetative symptoms.

We performed vestibular diagnostics in the acute phase of the disease and after 4 and 12 weeks. The diagnostics consisted of a thermic examination of the vestibular organ and rotatory tests.

A complete recovery of the vestibular function was seen in 30 patients after 12 weeks (52%).

27 patients showed continued malfunction of the vestibular organ. 15 of these patients (26%) had a central compensation. 12 patients (21%( still suffered 12 weeks after the acute Neuronitis vestibularis under vegetative symptoms. These patients showed no central compensation or peripheral recovery.

The treatment of Neuronitis vestibularis needs to be continued after the acute phase of the disease. Depending on age and general state of the patient, lengthy processes are possible, including the missing compensation of the peripheral vestibular disturbance.