[Should vestibular neuritis be treated with corticosteroids?]

Tidsskr Nor Laegeforen. 2008 Sep 25;128(18):2062-3.
[Article in Norwegian]

Abstract

Recent studies have shown that corticosteroid treatment of patients with vestibular neuritis significantly improves recovery of peripheral vestibular function. At follow-up, the number of patients with a normal caloric response was larger among those treated with corticosteroids. However, improvement of caloric responses may not correlate directly with patient symptoms and up to now improved vertigo/dizziness due to corticosteroid treatment has not been reported. Consequently, although corticosteroid may be a treatment option, it should currently only be considered in those vestibular neuritis patients who are willing to take part in a structured follow-up with both caloric testing and evaluation of subjective symptoms.

Publication types

  • English Abstract

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Adult
  • Caloric Tests
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Recovery of Function
  • Treatment Outcome
  • Vestibular Neuronitis / diagnosis
  • Vestibular Neuronitis / drug therapy*

Substances

  • Adrenal Cortex Hormones