Labyrinthitis: Difference between revisions
| Line 5: | Line 5: | ||
**Some differentiate based on auditory symptoms | **Some differentiate based on auditory symptoms | ||
==Clinical Features== | ==Diagnosis== | ||
===Clinical Features=== | |||
*Peripheral vertigo + hearing loss + middle ear findings | *Peripheral vertigo + hearing loss + middle ear findings | ||
**Severity depends on type of labyrinthitis: | **Severity depends on type of labyrinthitis: | ||
| Line 14: | Line 15: | ||
****Caused by inflammatory respones to nearby infections (including viral) | ****Caused by inflammatory respones to nearby infections (including viral) | ||
****Clinical course similar to [[Vestibular Neuritis (Neuronitis)]] | ****Clinical course similar to [[Vestibular Neuritis (Neuronitis)]] | ||
==Workup== | |||
See [[Vertigo]] | |||
==Treatment== | ==Treatment== | ||
Revision as of 04:42, 29 February 2012
Background
- Infection of cochlear and vestibular apparatus (from middle ear via round/oval windows)
- Acute suppurative labyrinthitis is only cause of peripheral vertigo requiring urgent tx
- Some sources consider Vestibular Neuritis and Labyrinthitis to be the same thing
- Some differentiate based on auditory symptoms
Diagnosis
Clinical Features
- Peripheral vertigo + hearing loss + middle ear findings
- Severity depends on type of labyrinthitis:
- Acute suppurative labyrinthitis
- Caused by extension of infection from otitis media, meningitis, mastoiditis
- Signs of toxicity
- Serous labyrinthitis
- Caused by inflammatory respones to nearby infections (including viral)
- Clinical course similar to Vestibular Neuritis (Neuronitis)
- Acute suppurative labyrinthitis
- Severity depends on type of labyrinthitis:
Workup
See Vertigo
Treatment
- Suppurative form requires abx
Disposition
- Suppurative form require admission for definitive ENT treatment
See Also
Source
Tintinalli