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The use of medication in treating vestibular disorders depends on whether the vestibular system dysfunction is in an initial or acute phase (lasting up to 5 days) or chronic phase (ongoing).

During the acute phase, and when other illnesses have been ruled out, medications that may be prescribed include vestibular suppressants to reduce motion sickness or anti-emetics to reduce nausea. Vestibular suppressants include three general drug classes: anticholinergics, antihistamines, and benzodiazepines. Examples of vestibular suppressants are meclizine and dimenhydinate (antihistamine-anticholinergics) and lorazepam and diazepam (benzodiazepines).

Other medications that may be prescribed are steroids (e.g., prednisone), antiviral drugs (e.g., acyclovir), or antibiotics (e.g., amoxicillin) if a middle ear infection is present. If nausea has been severe enough to cause excessive dehydration, intravenous fluids may be given.

During the chronic phase, symptoms must be actively experienced without interference in order for the brain to adjust, a process called vestibular compensation. Any medication that makes the brain sleepy, including all vestibular suppressants, can slow down or stop the process of compensation. Therefore, they are often not appropriate for long-term use. Physicians generally find that most patients who fail to compensate are either strictly avoiding certain movements, using vestibular suppressants daily, or both.

Endolymphatic hydrops is a disorder of the inner ear and can affect the endolymphatic fluid of the cochlea, the vestibular apparatus, or both. Although its underlying cause and natural history are unknown, it is believed to result from abnormalities in the quantity, composition, and/or pressure of the endolymph (the fluid within the endolymphatic sac, a compartment of the inner ear).

In a normal inner ear, the endolymph is main­tained at a constant volume and with specific concentrations of sodium, potassium, chloride, and other electrolytes. This fluid bathes the sensory cells of the inner ear and allows them to function normally. In an inner ear affected by hydrops, these fluid-system controls are believed to be lost or damaged. This may cause the volume and concentration of the endolymph to fluctuate in response to changes in the body’s circulatory fluids and electrolytes.

When is surgery necessary? When medical treatment isn't effective in controlling vertigo and other symptoms caused by vestibular system dysfunction, surgery may be considered. The type of surgery performed depends upon each individual's diagnosis and

VeDA advocates for the vestibular community to increase awareness about vestibular disorders, while implementing programs to reduce diagnosis times and improve treatment effectiveness, thereby improving the quality of life for vestibular patients. You can make an impact by joining our Community of Support.

“Vestibular disorder” is an umbrella term used to encompass many different conditions that affect the inner ear and those parts of the central nervous system involved in maintaining balance.

Vestibular disorders can result from or be worsened by injuries, genetic or environmental conditions, or occur for unknown reasons. There are more than twenty-five known vestibular disorders. Each is unique, but many share common diagnostic traits, which can make it difficult for healthcare professionals to easily differentiate them.

The most commonly diagnosed vestibular disorders include benign paroxysmal positional vertigo (BPPV), labyrinthitis or vestibular neuritis, Ménière’s disease, and secondary endolymphatic hydrops. Vestibular disorders also include superior semicircular canal dehiscence, acoustic neuroma, perilymph fistula, ototoxicity, enlarged vestibular aqueduct, migraine-associated vertigo, and Mal de Sébarquement. Other problems related to vestibular dysfunction include complications from aging, autoimmune disorders, and allergies.

The vestibular system includes the parts of the inner ear and brain that process the sensory information involved with controlling balance and eye movements. If disease or injury damages these processing areas, disorders of dizziness or balance can result. Vestibular disorders can also result from, or be worsened by, genetic or environmental conditions, or occur for unknown reasons.

The most commonly diagnosed vestibular disorders include:
– Benign paroxysmal positional vertigo (BPPV)
– Vestibular migraine
– Labyrinthitis or vestibular neuritis
– Ménière’s disease
– Age-related dizziness & imbalance
– Vestibular damage due to head injury

Patients with vestibular disorders may choose to incorporate supplements into their treatment plan, either to support their prescription medications or as non-pharmaceutical alternatives that can help reduce their symptoms and improve their overall wellness. Many

Vestibular paroxysmia is an episodic vestibular disorder which usually presents with a high frequency of attacks. This disorder was first described by Jannetta in 1975 as “disabling positional vertigo.” It is also known as microvascular

Persistent postural-perceptual dizziness (PPPD) and Meniere’s disease (MD) are two distinct types of vestibular disorders that occur independently; however, they may also occur simultaneously. Diagnostic criteria exist to clearly define and classify vestibular disorders. An

Cause Infection or inflammation of the cochleovestibular nerve. Summary Vestibular Neuritis (or neuronitis) is a vestibular condition that is commonly caused by the inflammation of the vestibular branch of the 8th cranial nerve, which is

The vestibular system includes the inner ear balance organs and the parts of the brain that coordinate and process balance information. The balance organs contribute vital sensory information about motion, equilibrium, and spatial orientation. In

PPPD symptoms include non-vertiginous dizziness and unsteadiness that is increased by a person’s own motion, exposure to environments with a complex or moving stimuli (e.g., stores, crowds), and performance of tasks that required precise visual focus (e.g., reading, using a computer). PPPD is NOT a psychiatric disorder, but rather a neuro-otologic condition with behavioral elements.