Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo?
Objectives. To review the current knowledge of the aetiology of vestibular neuritis including viral infections, vascular occlusion, and immunomediated mechanisms and to discuss the pathogenesis with relevance to pharmacotherapy. Systematic Review Methodology. Relevant publications on the aetiology a...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Immunology Research |
| Online Access: | http://dx.doi.org/10.1155/2014/459048 |
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| author | A. Greco G. F. Macri A. Gallo M. Fusconi A. De Virgilio G. Pagliuca C. Marinelli M. de Vincentiis |
| author_facet | A. Greco G. F. Macri A. Gallo M. Fusconi A. De Virgilio G. Pagliuca C. Marinelli M. de Vincentiis |
| author_sort | A. Greco |
| collection | DOAJ |
| description | Objectives. To review the current knowledge of the aetiology of vestibular neuritis including viral infections, vascular occlusion, and immunomediated mechanisms and to discuss the pathogenesis with relevance to pharmacotherapy. Systematic Review Methodology. Relevant publications on the aetiology and treatment of vestibular neuritis from 1909 to 2013 were analysed. Results and Conclusions. Vestibular neuritis is the second most common cause of peripheral vestibular vertigo and is due to a sudden unilateral loss of vestibular function. Vestibular neuronitis is a disorder thought to represent the vestibular-nerve equivalent of sudden sensorineural hearing loss. Histopathological studies of patients who died from unrelated clinical problems have demonstrated degeneration of the superior vestibular nerve. The characteristic signs and symptoms include sudden and prolonged vertigo, the absence of auditory symptoms, and the absence of other neurological symptoms. The aetiology and pathogenesis of the condition remain unknown. Proposed theories of causation include viral infections, vascular occlusion, and immunomediated mechanisms. The management of vestibular neuritis involves symptomatic treatment with antivertiginous drugs, causal treatment with corticosteroids, and physical therapy. Antiviral agents did not improve the outcomes. |
| format | Article |
| id | doaj-art-b649dddc77ea442aa7a4e7f79aa03090 |
| institution | DOAJ |
| issn | 2314-8861 2314-7156 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Immunology Research |
| spelling | doaj-art-b649dddc77ea442aa7a4e7f79aa030902025-08-20T03:20:55ZengWileyJournal of Immunology Research2314-88612314-71562014-01-01201410.1155/2014/459048459048Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo?A. Greco0G. F. Macri1A. Gallo2M. Fusconi3A. De Virgilio4G. Pagliuca5C. Marinelli6M. de Vincentiis7Organs of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyOrgans of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyOrgans of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyOrgans of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyOrgans of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyOrgans of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyOrgans of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyOrgans of Sense Department, ENT Section, Policlinico “Umberto I” University of Rome “Sapienza”, Lgo Valerio Bacigalupo 32 C, 00142 Rome, ItalyObjectives. To review the current knowledge of the aetiology of vestibular neuritis including viral infections, vascular occlusion, and immunomediated mechanisms and to discuss the pathogenesis with relevance to pharmacotherapy. Systematic Review Methodology. Relevant publications on the aetiology and treatment of vestibular neuritis from 1909 to 2013 were analysed. Results and Conclusions. Vestibular neuritis is the second most common cause of peripheral vestibular vertigo and is due to a sudden unilateral loss of vestibular function. Vestibular neuronitis is a disorder thought to represent the vestibular-nerve equivalent of sudden sensorineural hearing loss. Histopathological studies of patients who died from unrelated clinical problems have demonstrated degeneration of the superior vestibular nerve. The characteristic signs and symptoms include sudden and prolonged vertigo, the absence of auditory symptoms, and the absence of other neurological symptoms. The aetiology and pathogenesis of the condition remain unknown. Proposed theories of causation include viral infections, vascular occlusion, and immunomediated mechanisms. The management of vestibular neuritis involves symptomatic treatment with antivertiginous drugs, causal treatment with corticosteroids, and physical therapy. Antiviral agents did not improve the outcomes.http://dx.doi.org/10.1155/2014/459048 |
| spellingShingle | A. Greco G. F. Macri A. Gallo M. Fusconi A. De Virgilio G. Pagliuca C. Marinelli M. de Vincentiis Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo? Journal of Immunology Research |
| title | Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo? |
| title_full | Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo? |
| title_fullStr | Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo? |
| title_full_unstemmed | Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo? |
| title_short | Is Vestibular Neuritis an Immune Related Vestibular Neuropathy Inducing Vertigo? |
| title_sort | is vestibular neuritis an immune related vestibular neuropathy inducing vertigo |
| url | http://dx.doi.org/10.1155/2014/459048 |
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