전정신경염에 대한 평가와 진단 = Vestibular Neuritis: Current Principles of the Assessment and the Diagnosis

다국어 초록 (Multilingual Abstract)

Vestibular neuritis presents as a sudden onset of rotary vertigo with associated nausea, vomiting, and generalized imbalance. In general, the dizziness lasts from a few hours to several days with gradual, definite improvement throughout the course.
Vestibular neuritis is now considered to be the more accurate term for cases that do not involve hearing loss. The diagnosis of vestibular neuritis depends on the history of spontaneous, prolonged vertigo, physical findings that are consistent with a unilateral peripheral vestibular paralysis, and the absence of other neurological symptoms and signs. History and physical examination alone are usually adequate for diagnosis, although one must ensure that a central insult is not at fault. Relevant differential diagnoses are pseudo-vestibular neuritis due to acute pontomedullary brainstem lesions or cerebellar nodular infarctions, vestibular migraine, sudden sensorineural hearing loss accompanies vertigo with a vestibular neuritis-like pattern and monosymptomatically beginning Meniere's disease. Vestibular function tests including caloric test, vestibular evoked myogenic potential are useful to identify the side of involvement and to localize the pathology to the inferior or superior vestibular nerve.

참고문헌 (Reference)

1 김병건, "어지럼 환자의 병력청취" 대한평형의학회 8 (8): 7-15, 2009

2 Cooper CW, "Vestibular neuronitis: a review of a common cause of vertigo in general practice" 43 : 164-167, 1993

3 Coats AC, "Vestibular neuronitis" 73 : 395-408, 1969

4 Chen CW, "Vestibular neuritis: threedimensional videonystagmography and vestibular evoked myogenic potential results" 120 : 845-848, 2000

5 Han GY, "Vestibular neuritis. In Otorhinolaryngologyhead and neck surgery" Seoul: ILCHOKAK 924-929, 2009

6 Fetter M, "Vestibular neuritis spares the inferior division of the vestibular nerve" 119 : 755-763, 1996

7 Goddard JC, "Vestibular neuritis" 44 : 361-365, 2011

8 Strupp M, "Vestibular neuritis" 29 : 509-519, 2009

9 Nola G, "Vestibular evoked myogenic potential in vestibular neuritis" 2011

10 Bassani R, "Teaching Video NeuroImages: Vestibular neuritis: basic elements for clinical and instrumental diagnosis" 76 : 71-, 2011

11 Schuknecht HF, "Second Louis H. Clerf Lecture. Vestibular neuritis" 90 : 1-19, 1981

12 Carey JP, "Principles of applied vestibular physiology. In Cummings otolaryngology: head & neck surgery. 5th ed" Philadelpia: Mosby Elsevier 2292-2300, 2010

13 Monstad P, "Inferior vestibular neuritis: 3 cases with clinical features of acute vestibular neuritis, normal calorics but indications of saccular failure" 6 : 45-, 2006

14 Lin CM, "Identifying the affected branches of vestibular nerve in vestibular neuritis" 2011

15 Choi KD, "Hyperventilation-induced nystagmus in peripheral vestibulopathy and cerebellopontine angle tumor" 69 : 1050-1059, 2007

16 Thabet E, "Evaluation of patients with acute vestibular syndrome" 265 : 341-349, 2008

17 Neuhauser HK, "Epidemiology of vertigo" 20 : 40-46, 2007

18 Jaffe BF, "Clinical studies in sudden deafness" 20 : 221-228, 1973

19 Park H, "Clinical significance of vibrationinduced nystagmus and head-shaking nystagmus through follow-up examinations in patients with vestibular neuritis" 29 : 375-379, 2008

20 Baloh RW, "Clinical practice. Vestibular neuritis" 348 : 1027-1032, 2003

21 Lee H, "Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns" 67 : 1178-1183, 2006

22 Lee NH, "Benign paroxysmal positional vertigo secondary to inner ear disease" 143 : 413-417, 2010

23 Gianoli G, "Anatomic differences in the lateral vestibular nerve channels and their implications in vestibular neuritis" 26 : 489-494, 2005

24 Bohmer A, "Acute unilateral peripheral vestibulopathy. In Disorders of the vestibular system" New York: Oxford University Press 318-327, 1996