My ENT has prescribed a 6-day steroid dose pack for viral/autoimmune labyrinthitis. My caloric testing was positive. I have had mild dizziness (no true vertigo) for 4 weeks. All other tests (MRI, chem 18, TFT's, 24-hour urine for amines, CBC, etc.) have been negative.
Is there any literature that would support his treatment plan?
Thank you.
Reply: --------------------------
The most commonly recommended management of labyrinthitis or vestibular neuronitis is bedrest, fluids, selective vestibular sedatives, and anti-emetics if necessary. I am aware of a recent report suggesting a possible benefit for methylprednisolone compared to placebo in the treatment of acute vestibulopathy:
Ariyasu L, Byl F, Sprague M, Adour K: The Beneficial Effect of Methylprednisolone in Acute Vestibular Vertigo. Arch Otolaryngol Head Neck Surg 116:700-703, 1990
--
Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
NOTICE: OFCN is not engaged in the rendering of professional medical services. The information contained on this system or any other OFCN system should not supplant individual professional consultation. It is offered exclusively as a community education service. Advice on individual problems must be obtained directly from a professional.
Click here to review
previous Ear, Nose and Throat Clinic consultations