Otolaryngology Book


Bacterial Labyrinthitis

Aka: Bacterial Labyrinthitis, Acute Suppurative Labyrinthitis
  1. See Also
    1. Vertigo
    2. Vertigo Causes
    3. Peripheral Causes of Vertigo
    4. Central Causes of Vertigo
    5. Vertigo Management
    6. Meniere's Disease
    7. Motion Sickness
    8. Vestibular Neuronitis
    9. Benign Paroxysmal Positional Vertigo
    10. Perilymphatic Fistula (Hennebert's Sign)
    11. Acute Labyrinthitis
    12. HiNTs Exam (Three-Step Bedside Oculomotor Examination)
    13. Horizontal Head Impulse Test (Head Thrust Test, h-HIT)
    14. Nystagmus
    15. Skew Deviation (Vertical Ocular Misalignment, Vertical Heterotropia, Vertical Strabismus)
    16. Dix-Hallpike Maneuver
    17. Dizziness
    18. Dysequilibrium
    19. Syncope
    20. Light Headedness
  2. Epidemiology
    1. Incidence: Rare
  3. Etiology
    1. Complication of Acute or Chronic Otitis Media
    2. May be associated with Cholesteatoma
  4. Symptoms
    1. Sudden onset Vertigo with severe Nausea and Vomiting
      1. Symptoms persist in first 12 hours despite immobility
    2. Complete Hearing Loss in affected ear
      1. Distinguishes Labyrinthitis from Vestibular Neuronitis
    3. Associated with Tinnitus
  5. Signs
    1. Rapid Nystagmus toward opposite side
  6. Course
    1. Vertigo and Nystagmus resolve over days to weeks
    2. Tinnitus resolves
    3. Hearing Loss persists
  7. Imaging: CT Head or MRI Head
    1. Assess for Brain Abscess
  8. Management
    1. Antibiotics for 10 day course
  9. Complications
    1. Persistent Hearing Loss in the affected ear is the norm
    2. Meningitis from local spread

Bacterial labyrinthitis (C1142010)

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
Derived from the NIH UMLS (Unified Medical Language System)

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