Labyrinthitis

Alternative names:

bacterial labyrinthitis; serous labyrinthitis

Treatment:

Labyrinthitis usually runs its course over a few weeks. However, symptoms may need treatment. Medications that may reduce symptoms include antihistamines, anticholinergics, sedative-hypnotics, anti-emetics (antinausea medications), and diazepam.

To prevent worsening of symptoms during episodes of labyrinthitis, keep still, rest during attacks, and gradually resume activity. Avoid sudden position changes. Do not try to read during attacks, and avoid bright lights.

Assistance with walking may be needed during attacks. Avoid hazardous activities (such as driving, operating heavy machinery and climbing, etc.) until 1 week after symptoms disappear.

Expectations (prognosis):

Recovery is usually spontaneous and hearing usually returns to normal.

Complications:

• injury to self or others during attacks of vertigo
• permanent hearing loss in the affected ear (rare)
• spread of inflammation to other ear areas or to the brain (rare)

Calling your health care provider:

Call your health care provider if dizziness, vertigo, loss of balance, or other symptoms of labyrinthitis are present. Also call if hearing loss occurs.

Urgent or emergency symptoms include convulsions, fainting, persistent vomiting, or vertigo accompanied by fever over 101 degrees Fahrenheit.