Symptoms
- Sudden severe vertigo (room-spinning sensation)
- Nausea and vomiting
- Difficulty walking or standing
- Unsteadiness
- No hearing loss (distinguishes from labyrinthitis)
Diagnosis
Clinical — based on history and physical exam (HINTS exam helps distinguish from stroke). MRI is performed if features suggest a central cause.
Treatment
- Vestibular suppressants short-term (meclizine, dimenhydrinate)
- Anti-emetics
- Hydration
- Early vestibular rehabilitation therapy
- Corticosteroids may speed recovery (selected cases)
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- American Academy of Otolaryngology. Vestibular Disorders.