Vestibular Neuritis
Conditions
Keywords
Vestibular Neuritis, SHIMP (suppressing head impulse paradigm), SVV (subjective visual vertical), Vestibular rehabilitation, Prednisolone, v-HIT (video head impulse test), Vestibular Neuronitis
Brief summary
To investigate which treatment option (corticosteroid treatment alone or combined corticosteroid treatment and vestibular rehabilitation) is the most effective in patients diagnosed with vestibular neuritis.
Detailed description
Patients diagnosed with vestibular neuritis will we consider for enrollment. Each patient will undergo randomization for a specific treatment.
Interventions
Specialized physical therapy aimed at restoring balance
Prednisolone
Sponsors
Study design
Intervention model description
Patients randomized to two different treatments: 1. corticosteroid treatment (prednisolone) 2. combined corticosteroid treatment (prednisolone) and vestibular rehabilitation
Eligibility
Inclusion criteria
1. Age above 18 years of age 2. Medical history compatible with vestibular neuritis 3. Verification of vestibular neuritis with positive romberg test, pathological v-HIT and horizontal nystagmus with a rotatory component.
Exclusion criteria
1. Former medical history with vestibular dysfunction 2. Medical history or objective signs of cochlear dysfunction before, during or after onset of vestibular neuritis 3. Onset of symptoms 14 days before recruitment to the study 4. Focal neurological symptoms/signs 5. Contraindication to prednisolone treatment 6. Problem with participating in vestibular rehabilitation due to muscular-skeletal disease ect.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Suppressing head impulse paradigm (SHIMP) | 6 month | SHIMP equipment will objectively quantify change of vestibular function. |
| Subjective visual vertical (SVV) | 6 month | SVV test will objectively quantify the experienced spatial orientation as an indicator of visual and vestibular otolithic function |
| Video head impulse test (v-HIT) | 6 month | v-HIT equipment will objectively quantify change of vestibular function. |
| Dizziness handicap inventory (DHI) questionnaire | 6 month | Fulfillment of the questionnaire Dizziness Handicap Inventory (DHI) will quantify the level of experienced vertigo. |
Countries
Denmark