Labyrinthitis

Mary S. Lindholm, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • The sudden and persistent onset of vertigo, often accompanied by hearing loss, caused by acute inflammation or infection of the labyrinth

  • Labyrinthitis is a clinical diagnosis in abse...

DIAGNOSIS

HISTORY

  • Vertigo AND (often) hearing loss in one ear

  • Vertigo is acute in onset and lasts days to weeks.

  • Nausea and vomiting are common.

  • Fullness of affected ear

  • Tinnitus of affected ear (roaring, ...

TREATMENT

  • Symptom management and reassurance

  • Vestibular rehabilitation is the mainstay of treatment and has been shown to be safe and effective management for unilateral peripheral vestibular dysfuncti...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Follow hearing loss weekly with audiograms until hearing stabilizes. Acute vertiginous symptoms may last up to 6 weeks. Residual symptoms have b...

REFERENCES

1 Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician.  2010;82(4):361–368.  [View Abstract]
2 Jahn K, Langhagen T, Schroeder AS, et al. Vertigo and dizziness i...

ADDITIONAL READING

  • Lee HK, Ahn SK, Jeon SY, et al. Clinical characteristics and natural course of recurrent vestibulopathy: a long-term follow-up study. Laryngoscope.  2012;122(4):883–886.  [Vie...

SEE ALSO

Ménière Disease; Postconcussion Syndrome (Mild Traumatic Brain Injury); Tinnitus 

CODES

ICD10

  • H83.09 Labyrinthitis, unspecified ear

  • H83.01 Labyrinthitis, right ear

  • H83.02 Labyrinthitis, left ear

  • H83.03 Labyrinthitis, bilateral

ICD9

  • 386.30 Labyrinthitis, unspecified

  • 386.31 Serous labyrinth...

CLINICAL PEARLS

  • Ask patients to describe symptoms in their own words; alternative symptoms include light-headedness, vertigo, disequilibrium, or imbalance.

  • Benzodiazepines are better vestibular suppres...

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