Vestibular Neuritis

Viral inflammation of the balance nerve

Written by: Saygı Hospital Health Guide Editorial Board

Last updated: June 11, 2026

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Vestibular Neuritis?

Vestibular neuritis is inflammation of the vestibular branch of the 8th cranial nerve (mostly through HSV-1 reactivation). It is the most common cause of peripheral vertigo after BPPV.

In the acute phase, persistent vertigo worsening with head movement, nausea and vomiting can last for days. The absence of hearing loss helps to exclude labyrinthitis and Meniere's disease.

The vast majority of patients recover within 4-6 weeks; however, in 25-50% chronic balance problems and mild vertigo triggered by head movement may be permanent.

Symptoms

Sudden-onset severe and persistent rotational vertigo

Nausea and vomiting

Imbalance worsening with head movement

Severe weakness requiring bed rest

Spontaneous nystagmus (toward the unaffected ear)

No hearing loss (distinguishing feature)

Risk Factors

Preceding viral upper respiratory infection (usually 1-2 weeks before)

HSV-1 seropositivity

Stress and immune suppression

Advanced age

Previous vestibular neuritis

Diabetes (neural damage risk)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

If there is severe, persistent vertigo and vomiting
If symptoms last longer than 24-48 hours
If hearing loss or tinnitus accompany the symptoms
Neurological symptoms (double vision, swallowing difficulty, arm-leg weakness)
If there is falling or gait disturbance

Treatment Methods

Vestibular suppressants in acute phase (metoclopramide, diphenhydramine)

Short-term corticosteroid (prednisolone)

Fluid replacement to prevent dehydration

Early mobilization after acute period

Vestibular rehabilitation exercises (Cawthorne-Cooksey)

Psychosocial support (anxiety management)

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.