Labyrinthitis is the medical name for inflammation of the ‘labyrinth’ in your inner ear, commonly caused by a viral infection. Viral labyrinthitis often comes on quickly in otherwise healthy people, and symptoms may start after a simple cold.
Symptoms of labyrinthitis can include:
Many people refer to vertigo when they feel lightheaded or off balance. In medical terms, vertigo is different from other forms of dizziness because the dizziness has to be accompanied by a sensation that the room is spinning round. It can often be associated with feeling or sometimes being sick.
Diagnosis is usually made on the basis of your symptoms but can also be made by means of physical examination and tests such as blood tests, MRI and CT scans or Lumbar puncture.
Labyrinthitis can be either viral or bacterial. Viral infection usually stems from the chest, nose, mouth or airways, usually from a cold or flu. This is the most common form of labyrinthitis - it is usually mild, gets better on its own after a few weeks and does not cause any permanent damage.
With bacterial infection, bacteria enter the inner ear from the middle ear when the membrane separating them is broken, perhaps as a result of an ear infection or sometimes a brain infection (meningitis). With this form of the condition, symptoms tend to go on for longer and long term ear damage is more common.
In most cases, the symptoms of labyrinthitis pass within a few weeks. Management of the condition involves a combination of bed rest and medication to help you cope better with the symptoms. In some cases you may need additional medication to fight the underlying infection:
A small number of people have persistent symptoms that last for several months, or even years. In these cases a more intensive type of treatment, called vestibular rehabilitation therapy (VRT) may be used. Usually carried out by a physiotherapist, VRT attempts to "retrain" the brain to cope with the altered signals that come from the vestibular system of the inner ear.
You will need to speak with your Doctor about the treatment they feel is appropriate for you.
Some people do find it makes their symptoms worse, however it shouldn’t do serious damage.
Here are a few tips which may help:
Symptoms of labyrinthitis are similar to those of Menière’s disease, which causes intermittent episodes of vertigo, fluctuating hearing loss with a progressive, ultimately permanent loss of hearing, ringing in the ear (tinnitus), and sometimes a feeling of fullness or pressure in one or both ears. Diagnosis is suspected by the history but warrants a more detailed examination by an ENT doctor along with a hearing test and MRI scan (to exclude other causes).
Answered by the Health at Hand team
Vertigo - NHS Factsheet
Dizziness - NHS Factsheet
Menière’s disease - NHS Factsheet
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