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Previous Volume 339:680-685 September 3, 1998 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Rapid, unilateral injury to either peripheral or central vestibular structures produces the acute vestibular syndrome, which consists of severe vertigo, nausea and vomiting, spontaneous nystagmus, and postural instability. When this syndrome evolves over days in a healthy person, it is usually attributed to a viral vestibular neuritis, also called vestibular neuronitis or, when acute hearing loss occurs, neurolabyrinthitis.^1,2,3,4,5,6 Infarction and hemorrhage of the inferior cerebellum, however, may simulate vestibular neuritis (Figure 1).^9,10 As many as 25 percent of patients with risk factors for stroke who present to an emergency medical setting with isolated, severe vertigo, nystagmus, and postural . . . [Full Text of this Article]

Simplified Functional Anatomy and Vascular Supply

Evaluation of Patients with Acute Vestibular Syndrome

Vertigo and Its Differential Diagnosis Based on Time Course

            Vertigo Lasting for a Day or Longer

            Vertigo Lasting for Hours or Minutes

            Vertigo Lasting for Seconds

Distinguishing Vestibular Neuritis from Stroke

Evaluation and Management

Source Information

From the Department of Neurology and Neurologic Sciences, Stanford University School of Medicine, Stanford, Calif., and the Santa Clara Valley Medical Center, San Jose, Calif. (J.R.H.); and the Department of Neurology and the Division of Head and Neck Surgery (Otolaryngology), University of California at Los Angeles School of Medicine, Los Angeles (R.W.B.).

Address reprint requests to Dr. Hotson at the Santa Clara Valley Medical Center, 751 South Bascom Ave., San Jose, CA 95128.

References

Related Letters:

Acute Vestibular Syndrome
Guntinas-Lichius O., Williams R. S., Richmon J., Hotson J. R., Baloh R. W.
Extract | Full Text  
N Engl J Med 1999; 340:151-152, Jan 14, 1999. Correspondence

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