[The diagnosis, treatment and aviation medicine identification of vestibular neuronitis]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Apr 20;31(8):650-653. doi: 10.13201/j.issn.1001-1781.2017.08.022.
[Article in Chinese]

Abstract

estibular neuronitis is one of the leading causes of peripheral vertigo. Inflammation confined to the vestibular system, and the cochlear, central nervous system and hearing are normal. The disease may be associated with viral infections, but the virus serological positive rate is not high. Vestibular-evoked myogenic potential and head impulse test can be used for sub-type diagnosis, and improve the detection rate of inferior vestibular neuronitis.Corticosteroids therapy is still controversial, and had not been included in VN conventional treatment. Vestibular rehabilitation is helpful in building central compensatory earlier for VN patients, and if the compensate for VN completely was the final basis of aviation medicine evaluation. This review focuses on the clinical manifestation, etiology, diagnosis, differential diagnosis,corticosteroids and rehabilitation therapy, and aviation medicine identification of VN.

Keywords: aviation medical identification; pilots; vertigo;vestibular rehabilitation; vestibular neuritis.

Publication types

  • Review

MeSH terms

  • Aerospace Medicine
  • Evoked Potentials
  • Head Impulse Test*
  • Humans
  • Vertigo / diagnosis
  • Vertigo / etiology
  • Vestibular Evoked Myogenic Potentials / physiology*
  • Vestibular Function Tests
  • Vestibular Neuronitis* / diagnosis
  • Vestibular Neuronitis* / physiopathology
  • Vestibular Neuronitis* / therapy