What is it?
Vestibular neuritis is swelling (inflammation) of the balance nerve of the inner ear, often after a viral infection such as a cold or fever. When the hearing part of the inner ear is also affected, it is called labyrinthitis.
Common symptoms
- Sudden, severe spinning vertigo that lasts a day or more
- Nausea and vomiting
- Difficulty walking straight
- Unsteadiness that slowly improves over days to weeks
- In labyrinthitis: hearing loss or ringing in one ear
How we diagnose it here
- The Head Impulse Test shows whether the balance nerve on one side is weak
- VNG records the typical eye movements
- Audiometry checks whether hearing is affected
- The doctor also checks for warning signs that need urgent brain evaluation
Tests used: Functional Head Impulse Test VNG – Videonystagmography Audiometry (Hearing Test) Vestibular Assessment & Rehabilitation
Treatment options
- Short-term medicines for vomiting and vertigo in the first few days
- Medicines for the inflammation when the doctor feels they are suitable
- Starting vestibular rehabilitation early – the key step that helps the brain adjust and regain balance
- Follow-up visits to track recovery
The right treatment for you is decided by the doctor after examination and tests.
When to seek urgent care
If you have sudden severe dizziness with weakness, slurred speech, chest pain or loss of consciousness, go to the nearest emergency hospital immediately.