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Essay / Vestibular Neuritis - 1997
Vestibular NeuritisThere are various disorders that cause dizziness in a patient. The three most common causes of peripheral vertigo are benign paroxysmal positional vertigo (BPPV), Ménière's disease, and vestibular neuritis. There are other causes of vertigo, such as cerebrovascular diseases, migraines, psychological illnesses, perilymphatic fistulas, multiple sclerosis, and intracranial neoplasms (Labuguen, 2006). Vertigo is a type of vertigo in which the patient feels like the world is spinning around them while they are still. According to Hanley, it is defined as an “illusion” or “hallucination” of movement, usually rotational, of yourself or your environment (Hanley, 2002). The cause of vertigo is initially classified into two distinct categories depending on its origin. It can originate from the peripheral nervous system or the central nervous system. Distinguishing characteristics that separate them include the type of nystagmus, imbalance, nausea, hearing loss, duration, and non-auditory neurological symptoms. The imbalance in central disorders is usually very severe, in which the patient is unable to stand still or walk. Nystagmus is entirely vertical, horizontal, or torsional and can last for months. It is also not uncommon for other non-auditory neurological symptoms to develop. Nausea and vomiting are often common in peripheral dizziness disorders, as well as hearing loss. Nystagmus is usually a combination of horizontality and torsion that will decrease or disappear during gaze (Labuguen, 2006). Once the type of vertigo has been determined, it is then appropriate to become aware of it. In Ménière's disease, the severity of vertigo attacks increases...... middle of article ......yi, GM, Weber, KP, Curthoys IS (2010). Vestibular function after acute vestibular neuritis. Restorative Neurology & Neuroscience, 28(1), 37-46. Hanley, K & O'Dowd, T. (2002). Vertigo symptoms in general practice: a prospective study of diagnosis. British Journal of General Practice. 52, 809-812. Michael, S. (2009). Vestibular neuritis. Neurology Seminars, 29(5), 509-519. Taken from EBSCOhost. Maire, Raphael & Melle, G. (2004). Dynamics of the horizontal vestibulo-ocular reflex in acute vestibularneuritis and viral labyrinthitis: evidence for otolith-canal interaction, ActaOtolaryngol, 124, 36-40. Labuguen, Ronald H. (2006). Initial assessment of vertigo.American Family Physician, 73(2), 244-251.Strupp, M., Brandt.(2009). Current treatment of vestibular and ocular motor disorders and nystagmus. Neural Disorders, 2(4), 223-239 (PubMed Central).