Labyrinthitis
Condition
Definition
Labyrinthitis is swelling and irritation of the labyrinth of the inner ear. The labyrinth is a series of fluid-filled tubes and sacs.
If left untreated, the condition can lead to lasting ear damage, hearing problems, and falls.
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Causes
Labyrinthitis may be caused by:
- Inflammation
- Infection
- Trauma
- Certain medicines
Risk Factors
Things that may raise the risk of this problem are:
- Viral infections and allergies
- Smoking
- Drinking too much alcohol
- Stress
- Head injury
- Blood vessel disorders
- Problems with the immune system
- Taking certain medicines, such as antibiotics, aspirin, and quinine
Symptoms
Symptoms can range from mild to severe. They can last for days or weeks.
Symptoms may include:
- Tiredness
- A feeling of spinning
- Lightheadedness
- Balance problems
- Nausea and vomiting
- Problems controlling eye movement
- Ringing in the ear
- Hearing loss
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done. It will focus on the ears. The person may be referred to a doctor who treats ear problems.
The doctor will do hearing tests.
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Treatment
Any underlying cause will need to be treated. This problem usually goes away on its own with time. The goal of treatment is to manage symptoms. Options are:
Prevention
There are no known guidelines to prevent this health problem.
Medicine
Medicines to control symptoms may be:
- Antiemetics—to control nausea and vomiting
- Vestibular suppressants—to limit the spinning sensation (vertigo)
- Steroids or nonsteroidal anti-inflammatory drugs (NSAIDs)—to help control inflammation
National Institute on Deafness and Other Communication Disorders (NIDCD)
Vestibular Disorders Association
CANADIAN RESOURCES:
Alberta Health
Health Canada
National Institute on Deafness and Other Communication Disorders (NIDCD)
Vestibular Disorders Association
CANADIAN RESOURCES:
Alberta Health
Health Canada
References
- Labyrinthitis. Family Doctor—American Academy of Family Physicians website. Available at: https://familydoctor.org/condition/labyrinthitis.
- Labyrinthitis and vestibular neuritis. Vestibular Disorders Association website. Available at: https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/labyrinthitis-and-vestibular-neuritis.
- Le TN, Westerberg BD, et al. Vestibular neuritis: recent advances in etiology, diagnostic evaluation, and treatment. Adv Otorhinolaryngol. 2019;82:87-92.
- Vestibular neuronitis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/vestibular-neuronitis.
Contributors
- Daniel A. Ostrovsky, MD
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