[Should vestibular neuritis be treated with corticosteroids?].
Recent studies have shown that corticosteroid treatment of patients with vestibular neuritis significantly improves recovery of peripheral vestibular function. At follow-up, the number of patients with a normal caloric response was larger among those treated with corticosteroids. However, improvement of caloric responses may not correlate directly with patient symptoms and up to now improved vertigo/dizziness due to corticosteroid treatment has not been reported. Consequently, although corticosteroid may be a treatment option, it should currently only be considered in those vestibular neuritis patients who are willing to take part in a structured follow-up with both caloric testing and evaluation of subjective symptoms.
Avdeling for øre-nese-halssykdommer, St. Olavs Hospital, 7006 Trondheim. krister.brantberg@karolinska.se
Krister
K
Brantberg
Frederik
F
Goplen
Geir
G
Bråthen
Stein Helge Glad
SH
Nordahl
Haakon
H
Arnesen
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D002150:Caloric Tests; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D020127:Recovery of Function; D016896:Treatment Outcome; D020338:Vestibular Neuronitis / Q000175:diagnosis / Q000188:drug therapy*
D000305:Adrenal Cortex Hormones
Bør vestibularisnevritt behandles med kortikosteroider?