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Research in Vestibular Science > Volume 10(0); 2011 > Article
Research in Vestibular Science 2011;10(0): 3-8.
전정신경염에 대한 평가와 진단
반재호1, 안용휘2
성균관대학교 의과대학 강북삼성병원 이비인후과학교실1, 을지대학교 의과대학 을지병원 이비인후과학교실2
Vestibular Neuritis: Current Principles of the Assessment and the Diagnosis
Jae Ho Ban, MD1, Yong-Hwi An, MD2
1Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine; and 2Department of Otorhinolaryngology, Eulji University College of Medicine, Seoul, Korea
Vestibular neuritis presents as a sudden onset of rotary vertigo with associated nausea, vomiting, and generalized imbalance. In general, the dizziness lasts from a few hours to several days with gradual, definite improvement throughout the course. Vestibular neuritis is now considered to be the more accurate term for cases that do not involve hearing loss. The diagnosis of vestibular neuritis depends on the history of spontaneous, prolonged vertigo, physical findings that are consistent with a unilateral peripheral vestibular paralysis, and the absence of other neurological symptoms and signs. History and physical examination alone are usually adequate for diagnosis, although one must ensure that a central insult is not at fault. Relevant differential diagnoses are pseudo-vestibular neuritis due to acute pontomedullary brainstem lesions or cerebellar nodular infarctions, vestibular migraine, sudden sensorineural hearing loss accompanies vertigo with a vestibular neuritis-like pattern and monosymptomatically beginning Meniere's disease. Vestibular function tests including caloric test, vestibular evoked myogenic potential are useful to identify the side of involvement and to localize the pathology to the inferior or superior vestibular nerve.
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