Acute Labrynithitis

Question 1

What is acute labyrinthitis also known as?

Answer 1

Vestibular neuronitis

Question 2

What is labyrinthitis?

Answer 2

Inflammation of labyrinth in the cochlea and vestibular system of the inner ear

Question 3

What is the pathophysiology of labyrinthitis?

Answer 3

Infection can spread form middle ear

Question 4

What are risk factors for labyrinthitis?

Answer 4

Recent viral URTI
Chronic otitis media
Acute otitis media
Cholesteatoma

Question 5

What are the symptoms of labyrinthitis?

Answer 5

Acute vertigo
Dizziness
N+V
Hearing loss

Question 6

Is the hearing loss conductive or sensorineural?

Answer 6

Sensorineural

Question 7

How is labyrinthitis managed?

Answer 7

Vestibular suppressant

• diazepam/lorazepam
• Cyclizine

Should settle in a few weeks

Question 8

What advice should be given to patients?

Answer 8

Increase fluid intake
Do not drive while dizzy
Inform employer if relevant