is swelling and inflammation of the labyrinth part of the inner ear that helps to control balance It is a form of unilateral vestibular dysfunction Labyrinth houses vestibular system which senses changes in head position ID: 929515
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Slide1
Labyrinthitis
Labyrinthitis
is swelling and inflammation of the labyrinth, part of the inner ear that helps to control balance.
It is a form of unilateral vestibular dysfunction.
Labyrinth houses vestibular system which senses changes in head position.
Slide3Causes
Viral infections
Bacterial infection
Head injury
Extreme stress
Allergy
Reaction to medication
Risk factors – alcohol, history of allergy, smoking, respiratory infection, stress.
Slide4Signs and
symptoms
Vertigo – is a subtype of dizziness in which patient inappropriately experiences the perception of motions (spinning motion) due to dysfunction of the vestibular system
Nystagmus
–irregular involuntary movement of the eyeball
Nausea and Vomiting, tinnitus
General ill feeling and anxiety
Hearing loss in one ear
Loss of balance and Dizziness
Slide5History
P.E
EEG
ELECTRO NYSTAGMOGRAPHY – eye movements to know the functioning of acostic and occulomotor nerve. 90 mins.
CT – HEAD
AUDIOMETRY
MRI
Slide6TREATMENT
It usually subsides within few weeks
Treatment helps to reduce vertigo and other symptoms
Medicines
Antihistamines – for allergy
Control nausea and vomiting –
prochlorperazine
(dopamine receptor antagonist)
Relieve dizziness –
meclizine
(antiemetic and antihistamine)
Sedatives – diazepam (valium)
Steroids - prednisone
Slide7Manage
vertigo
Stay still and take proper rest
Avoid sudden movements or position change
Slowly resume activity
Avoid bright lights
Avoid driving, climbing
Avoid alcohol intake and smoking
Slide8Habituation exercises –
brandt
daroff
exercises
Upright position – lie down to one side while the head should hold in a 45 degree angle – sit back after 30 sec – do the next side .
Functional retraining – postural control and balance training.
Slide9