Features of vestibular neuronitis
Vertigo following viral infection, horizontal nystagmus,, no hearing loss or tinnitus
Vestibular rehab exercises to treat (or betahistine but poor evidence)
If there was hearing loss then could be labyrinthitis
natural history of Meniere’s
symptoms resolve in the majority of patients after 5-10 years
the majority of patients will be left with a degree of hearing loss
psychological distress is common