gms | German Medical Science

76th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 08.05.2005, Erfurt

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

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  • 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

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2005/05hno131.shtml

Published: September 22, 2005

© 2005 Langer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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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.