Vestibular Neuritis
Conditions
Keywords
Vestibular neuritis, Vertigo, Head impulse test, Steroid
Brief summary
The purpose of this study was to compare the treatment effectiveness of steroid therapy for vestibular neuritis by using video head impulse test.
Detailed description
This study was a prospective, randomized controlled study. The enrolled vestibular neuritis patients were randomized to conservative treatment or steroid treatment when they are diagnosed with caloric test. After initial vestibular work-up including caloric, video head impulse tests, and a questinnaire (DHI), the patient was examined with the same tests again at 6 months later. The efficacy of steroid for the patients with vestibular neuritis would be determined by the comparison of the data of each group.
Interventions
Ginkgo biloba 160 mg/day (per oral, 80 mg twice a day) for 1 month. Methylprednisolone 48 mg/day(per oral, once a day for first 9 days. And then methylprednisolone tapering was started every 2 days. The entire duration of methylprednisolone treatment was 14 days.
Ginkgo biloba 160 mg/day (per oral, 80 mg twice a day) for 1 month.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ages over 18 years * Acute vertigo that occurred within 7 days * The spontaneous nystagmus should be detected * Caloric weakness over 20%
Exclusion criteria
* Suspicious or verified a central nervous system lesion * If the patient has denied. * Other otologic disease (acute/chronic otitis media, otosclerosis, etc) * The patient with history of otologic surgery * The patient with history of brain surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The improvement in vestibular function test (caloric & videop HIT) after treatment | The first results were collected at initial diagnosis. And following results were collected 6 months after the first exam. | The effectiveness of steroid therapy was determined by comparing the improvement of vestibular function (the degree of canal paresis by caloric test; gain and presence of refixation-saccade by video HIT test). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The improvement in dizziness handicap inventory after treatment | The first results were collected at initial diagnosis. And following results were collected 6 months after the first exam. | The effectiveness of steroid therapy was determined by comparing improvement of subjective symptoms (symptom score by DHI) in each group. |
Countries
South Korea