Vestibular neuritis is an inflammatory disease in which the patient is characterized by attacks of sudden loss of balance and dizziness.
The role of the vestibular nerve is to control the system of certain internal organs and control the motor activity in the human body.
This disease equally affects the representatives, both male and female, in most cases, at the age of 30-60 years. The occurrence of this disease in children was recorded extremely rarely.
Causes of vestibular neuritis
Until now, scientists have not determined the actual causes of vestibular neuritis. Among the primary factors contributing to the increase in the risk of its manifestation, the following should be noted:
- viral infections( in particular, herpetic origin - chicken pox, shingles);
- intoxication of the body;
- Ménière's disease;
- diseases of the inner ear;
- accidents at work.
Symptoms of the disease
Vestibular neuritis is characterized by acute or subacute development of unilateral peripheral vestibular symptoms. 
The dominant is sudden dizziness, accompanied by a strong vegetative, postural instability with one-way incidence. In the acute stage, patients describe oscilloscopy, which corresponds to the present nystagmus.
Often patients can determine the direction in which they move. The clinical picture characterizes significant spontaneous nystagmus. It is considered analogous to acute sensorineural hearing loss or paresis N. VII.
The main symptom of vestibular neuronitis is a sudden attack of dizziness, which often accompanies a person for some time( from several days to several weeks).In addition, the disease is associated with the following symptoms:
- imbalances;
- nausea and vomiting, it is worth noting that vomiting does not relieve nausea in a person;
- weakness.
It should also be noted horizontal nystagmus. In some situations, the clinical picture is supplemented by psychosomatic symptoms: a sick person begins to feel that everything starts to revolve around him.
As mentioned, the above symptoms are not transient. Vertigo in a sick person can persist for several hours( with decreasing intensity), and nystagmus accompany it for several days. After the end of an attack a person for several weeks noted the volatility of walking.
As for hearing loss, it should be noted that in the isolated form of vestibular neuritis, it is absent.
The manifestation of the above symptoms occurs suddenly, but within a few days there has been a significant improvement in the human condition.
Complete recovery from vestibular neuritis can be expected 3 weeks after the first symptoms of this disease appear.
In older people, the healing process can last up to several months.
Recurrence of the disease is rarely recorded, it can occur after a few months or even years.
Diagnosing a violation of
To diagnose neuritis, you need to consult a specialist doctor who will perform an examination, according to which the diagnosis will be correct.
Important for the diagnosis of disease is the collection of the most complete history of life and disease.
It should also be noted that an important fact for the diagnosis of vestibular neuritis is that in this pathology, unlike other diseases with similar symptoms, there are no any hearing impairments.
Currently, special neurological tests are being conducted, designed to comprehensively assess the condition of the vestibular apparatus.
Among them:
- Test Romberg .Its essence lies in the fact that a person stands straight, and puts his feet in a straight line( one - in front, another - behind it).Hands must be straightened forward. In the case of vestibular neuritis, the posture of a person will be unstable.
- Caloric test .The patient should gently rotate. If there is inflammation of the vestibular nerve, the absence of reflexes will be recorded on the affected side.
- In order to completely eliminate errors in diagnosis, the physician can prescribe further examinations to the patient - CT, MRI or caloric sample method , which consists in placing fluids of various temperatures in the ear canal and assessing how the vestibular system reacts to them.
Methods of therapy
Proper treatment of this disease can only be prescribed by a specialist!
Medical intervention, as a rule, includes taking medications, special diets, regular performance of the 
curative gymnastics for the head and eyes, as well as strict adherence to the work-rest regime.
All treatment measures are directed to rid the person of nausea, vomiting and dizziness, in order to return him to his former active lifestyle.
Recent studies have shown the effect of corticosteroids taken by analogy with sudden sensorineural hearing loss or peripheral paresis of N. VII.
The results show that Methylprednisolone 100 mg with a gradual decrease to 20 mg is effective 1 time in three days. The decisive factor is the anti-oedematous and 
anti-inflammatory effects of corticosteroids.
Simultaneous introduction of antiviral drugs will not affect the course of the disease. The following drugs that can affect the function of residual function damage are Betagastin and Tanakan.
Recent studies have shown that the residual function of vestibular damage is inversely proportional to the dose of Betagistin. From this point of view, it should be emphasized that Betamistin is recommended in a dose of 2 × 24 mg per day. Studies show the effectiveness of higher doses: 24 mg 3-4 times a day.
In addition to pharmacotherapy, rehabilitation is very important for faster recovery. If it is conducted from the first day, it can significantly shorten the time of full state compensation.
Classical vestibular suppressors have their place in the acute phase, in which they can effectively alleviate vegetative symptoms. Their long-term use may prove counterproductive.
The clinical picture of the disease is known for a long time, but a significant shift is noted in the sense of etiology. At present, the most probable is the viral etiology of the disease. She showed the presence of the herpes simplex virus in the cells of the vestibular ganglion. In the case of a mild course of the disease, outpatient treatment is allowed.
In case of a herpetic infection in the body, the doctor prescribes antiviral treatment.
Effective help with dizziness:
The prognosis is relatively favorable in 30% of patients who undergo complete recovery of impaired vestibular 
function, in 20-30% it is only partially restored, 40-50% change is not observed, and the full lesion of the vestibular apparatus remains.
This, however, does not mean that these patients suffer constant dizziness. On the contrary, in cases where there was complete defeat without expressive fluctuations, the fastest compensation and adaptation took place.
Long-term problems, as a rule, have patients with incomplete lesion or incomplete return of the function of the vestibular apparatus.
