II. Epidemiology
- Incidence: Rare
III. Etiology
- Complication of Acute or Chronic Otitis Media
- May be associated with Cholesteatoma
IV. Symptoms
- Sudden onset Vertigo with severe Nausea and Vomiting
- Symptoms persist in first 12 hours despite immobility
- Complete Hearing Loss in affected ear
- Distinguishes Labyrinthitis from Vestibular Neuronitis
- Associated with Tinnitus
V. Signs
- Rapid Nystagmus toward opposite side
VI. Course
- Vertigo and Nystagmus resolve over days to weeks
- Tinnitus resolves
- Hearing Loss persists
VII. Imaging: CT Head or MRI Head
- Assess for Brain Abscess
VIII. Management
- Antibiotics for 10 day course
IX. Complications
- Persistent Hearing Loss in the affected ear is the norm
- Meningitis from local spread
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Concepts | Disease or Syndrome (T047) |
Italian | Labirintite batterica |
Japanese | 細菌性迷路炎, サイキンセイメイロエン |
Czech | Bakteriální labyrintitida |
Hungarian | bacterialis labyrinthitis |
English | Bacterial labyrinthitis |
Portuguese | Labirintite bacteriana |
Spanish | Laberintitis bacteriana |
Dutch | bacteriële labyrinthitis |
French | Labyrinthite bactérienne |
German | bakterielle Labyrinthitis |