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Labyrinthitis
Syn.
Vestibular neuritis
, Neurolabyrinthitis
, Acute peripheral vestibulopathy
Signs & Symptoms
Positive head impulse test
Note:
By the examiner
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Enlarged vestibular aqueduct
Note:
due to Abnormal communications between the inner and middle ear
Ref:
Cecil
[
Labyrinthitis
]
Otorrhea
Note:
Presence of acute or chronic otitis media with tympanic membrane perforation
Ref:
Cecil
[
Labyrinthitis
]
Epocrates
[
Https://www.epocrates.com/online/diseases/72/labyrinthitis
]
Upper respiratory tract infection
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Cecil
[
Labyrinthitis
]
Physical Examination
Positive head impulse test
Note:
By the examiner
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Nonblanching petechial exanthem
(negative symptom)
Note:
Typically, the rash is a nonblanching petechial or purpuric exanthem
Ref:
Cecil
[
Labyrinthitis
]
Nonblanching purpuric exanthem
(negative symptom)
Note:
Typically, the rash is a nonblanching petechial or purpuric exanthem
Ref:
Cecil
[
Labyrinthitis
]
Lab / Serology
Gram-negative diplococci
Note:
Labyrinthitis secondary to bacterial meningitis,due to Labyrinthitis secondary to bacterial meningitis,due to Labyrinthitis secondary to meningococcal infection
Ref:
Cecil
[
Labyrinthitis
]
Positive serum HIV rapid test
Note:
due to Labyrinthitis secondary to HIV infection
Ref:
Cecil
[
Labyrinthitis
]
Positive syphilis serology
Note:
Suggest syphilis is the cause of acute or recent deterioration in hearing,due to Syphilis
Ref:
Cecil
[
Labyrinthitis
]
Imagin Study
Occlusion of the posterior circulation
(negative symptom)
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Tumor involving the vestibulocochlear nerve
(negative symptom)
Ref:
Cecil
[
Labyrinthitis
]
Intraparenchymal hemorrhage
(negative symptom)
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Complication
Risk Factors
Diabetic
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Hypertension
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Smoking
Ref:
Uptodate
[
Vestibular neuritis and labyrinthitis
]
Cause
Other