Journal of Yeungnam Medical Science

Review article

Otorhinolaryngology
Current diagnosis and treatment of vestibular neuritis: a narrative review: Chang Hoon Bae, Hyung Gyun Na, Yoon Seok Choi; J Yeungnam Med Sci. 2022;39(2):81-88. Published online August 9, 2021; DOI: https://doi.org/10.12701/yujm.2021.01228

65,535 View
928 Download
22 Web of Science
38 Crossref

Vertigo is the sensation of self-motion of the head or body when no self-motion is occurring or the sensation of distorted self-motion during an otherwise normal head movement. Representative peripheral vertigo disorders include benign paroxysmal positional vertigo, Ménière disease, and vestibular neuritis. Vestibular neuritis, also known as vestibular neuronitis, is the third most common peripheral vestibular disorder after benign paroxysmal positional vertigo and Ménière disease. The cause of vestibular neuritis remains unclear. However, a viral infection of the vestibular nerve or ischemia of the anterior vestibular artery is known to cause vestibular neuritis. In addition, recent studies on immune-mediated mechanisms as the cause of vestibular neuritis have been reported. The characteristic clinical features of vestibular neuritis are abrupt true-whirling vertigo lasting for more than 24 hours, and no presence of cochlear symptoms and other neurological symptoms and signs. To accurately diagnose vestibular neuritis, various diagnostic tests such as the head impulse test, bithermal caloric test, and vestibular-evoked myogenic potential test are conducted. Various treatments for vestibular neuritis have been reported, which are largely divided into symptomatic therapy, specific drug therapy, and vestibular rehabilitation therapy. Symptomatic therapies include generalized supportive care and administration of vestibular suppressants and antiemetics. Specific drug therapies include steroid therapy, antiviral therapy, and vasodilator therapy. Vestibular rehabilitation therapies include generalized vestibular and customized vestibular exercises.

Citations

Citations to this article as recorded by

Vestibular Evoked Myogenic Potentials to Diagnose Vestibular Neuritis: A Scoping Review
Diego Piatti, Laura Casagrande Conti, Gianluca Paolocci, Iole Indovina, Marco Tramontano, Leonardo Manzari
The Laryngoscope.2026; 136(4): 1635. CrossRef
Repurposing Renin–Angiotensin System Drugs for the Treatment of Audiovestibular Disorders
Grant Podhajsky, Kiran S. Marla, Alec P. Marticoff, Kenny Nguyen, Tanner Kempton, Sepehr Salehpour, Caden Duffy, Douglas M. Bennion
Journal of Clinical Medicine.2026; 15(2): 743. CrossRef
Immune alterations in vestibular neuritis: a retrospective database pilot study on T and B lymphocyte profiles and cytokine levels
Zhaohui Song, Yuchuan Ding, Wesley Kohls, Jing Feng, Huimin Fan, Pan Gu, Xiaokun Geng
Frontiers in Neurology.2026;[Epub] CrossRef
The diagnostic and prognostic role of the pan-immune-inflammation value in vestibular neuritis
Fatma Atalay
Anatolian Current Medical Journal.2026; 8(1): 130. CrossRef
THE EFFECTIVENESS OF THE EPLEY MANEUVER FOR BENIGN PAROXYSMAL POSITIONAL VERTIGO: A META-ANALYSIS
Khalid AlYahya
BULLETIN OF STOMATOLOGY AND MAXILLOFACIAL SURGERY.2026;[Epub] CrossRef
DIAGNÓSTICO DA NEURITE VESTIBULAR AGUDA
Gabriela Decker, Gabriel Barreiros Lapetina Andrade Santana, Maria Isabel de Sampaio Rabello, Júlia Abel Cenci Guimarães, Silvia de Lucena Silva Araújo, Poliana Alba Leoncio, Safira Pereira De Siqueira, Bruna Costa Silveira, Nathália Leite Barbosa, Eugêni
Revista de Geopolítica.2026; 17(2): e1651. CrossRef
Systemic inflammatory markers in vestibular neuritis and BPPV: A single-center retrospective study
Özge Özen Gökmuharremoğlu, Yusuf Aydin
Kastamonu Medical Journal.2026; 6(1): 91. CrossRef
Vestibular Disorders
Prabhat K. Pokhrel, Rose Hall, Melanie Pendergrass, Jasmine Kaur
Primary Care: Clinics in Office Practice.2025; 52(1): 15. CrossRef
Altered amplitude of low-frequency fluctuation and functional connectivity in patients with acute unilateral vestibulopathy: a resting-state fMRI study
Zhengwei Chen, Liangqun Rong, Lijie Xiao, Jie Rao, Haiyan Liu, Tengfei Liu, Fei Chen, Jun Zhang, Lu Wang, Xi Li, Xiue Wei
Frontiers in Neurology.2025;[Epub] CrossRef
Management Strategies of Vestibular Neuritis:- A Review
Santosh Kumar Swain, Chappity Preetam
Medical Journal of Dr. D.Y. Patil Vidyapeeth.2025; 18(1): 5. CrossRef
Bibliometric analysis of global research trends in vestibular neuritis (1980–2024)
Mehmet Akif Dündar, Ahmet Avcı, Müşerref Arık, Ahmet Tayfur Akcan, Hasan Kazak
European Archives of Oto-Rhino-Laryngology.2025; 282(4): 1879. CrossRef
Critical analysis and management of benign paroxysmal positional vertigo in Ayurveda: A case report
Mohammed Irfan, B. S. Naveen, B. Geetha Kumari, Ajoy Viswam, Krishnan N. Namboodiri, Laxmi M. Naik
Journal of Indian System of Medicine.2025; 12(4): 184. CrossRef
Developing a Diagnostic Algorithm for Identifying Vestibular Neuronitis in Acute Dizziness: An Overview of Epidemiology, Pathogenesis, and Evidence-Based Guidelines for Diagnostic Approaches
Petros V Vlastarakos, Giorgos Sideris, Eleni Vasileiou, Efterpi Michailidou, Nikolaos Papadimitriou, Dimitrios Palantzas, Konstantina Melissourgou, Evangelos Panagoulis, Panagiotis P Gogoulos, Thomas Nikolopoulos
Cureus.2025;[Epub] CrossRef
Negative Video Head Impulse Test in Acute Vestibular Syndrome Does Not Exclude Vestibular Neuritis: Insights and Challenges in Diagnosis
Pavol Skacik, Stefan Sivak, Egon Kurca
Clinical Case Reports.2025;[Epub] CrossRef
Nationwide trends in steroid therapy for vestibular neuritis: insights from South Korea’s health insurance review and assessment data
Chul Young Yoon, Tae Hoon Kong, Young Joon Seo, Ji-Yun Park
Frontiers in Neurology.2025;[Epub] CrossRef
Nationwide resource utilization of dizziness/vertigo presentations to the ED
David O’Neil Danis, Matthew Kovoor, Emily K. Gjini, Jonathon S. Sillman, Kathryn Y. Noonan
Eye & ENT Research.2025; 2(2): 116. CrossRef
Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis
Xuhua Song, Jingwei Liang, Congzhe Tian
Frontiers in Neurology.2025;[Epub] CrossRef
Efficacy of vestibular tests for differential diagnosis of acute vestibular disorders: a cross-sectional study
Sharda Sarda, C. S. Vanaja, R Chetana, Priscilla Joshi, S Gorthi
The Egyptian Journal of Otolaryngology.2025;[Epub] CrossRef
Stroke – Screening Tools and Mimics
Alfredo Manuel da Silva Leal
medtigo Journal of Medicine.2025; 1(1): 1. CrossRef
Prevalence and Impact of Vertigo and Dizziness in Adults: A Hospital-Based Evaluation
Amir Hamza, . Ikramullah, Mohammad Azam, Abdul Wahid, Abdul Bari
Pakistan Journal of Health Sciences.2025; : 21. CrossRef
Acute Bilateral Vestibular Neuropathy During Myocardial Infarction: A Case Report
Francesco Comacchio, Elia Biancoli, Elisabetta Poletto, Barbara Bellemo, Paola Magnavita
Journal of Otorhinolaryngology, Hearing and Balance Medicine.2025; 6(2): 15. CrossRef
Weather and Seasonality Associations With Vestibular Neuritis
Athanasios Vlachodimitropoulos, Gerasimos Danielides, Theodoros Stathas, Georgios Batsaouras, Vasileios Papanikos, Christine Dafni, Spyridon Lygeros
Cureus.2025;[Epub] CrossRef
Vestibular function is associated with immune inflammatory response
Zhaohui Song, Yuchuan Ding, Nathan Sim, Ho Jun Yun, Jing Feng, Pan Gu, Xiaokun Geng
Reviews in the Neurosciences.2024; 35(3): 293. CrossRef
Prevalence of Scarpa’s ganglion enhancement on high-resolution MRI imaging
Clayton Siminski, John C Benson, Matthew L Carlson, John I Lane
The Neuroradiology Journal.2024; 37(3): 332. CrossRef
Vestibular rehabilitation for peripheral vestibular hypofunction: an interdisciplinary consensus
N.L. Kunelskay, G.E. Ivanova, E.V. Baybakova, A.L. Guseva, V.A. Parfenov, M.V. Zamergrad, O.V. Zaitseva, O.A. Melnikov, A.A. Shmonin, M.N. Maltseva
Russian Bulletin of Otorhinolaryngology.2024; 89(1): 52. CrossRef
A Review of Calcitonin Gene-Related Peptide and Its Implications for Vestibular Disorders
Richard Baron, Kristen K. Steenerson
Current Treatment Options in Neurology.2024; 26(6): 203. CrossRef
Evolution of Hyperventilation-Induced Nystagmus in Acute Unilateral Vestibulopathy—Interpretative Model and Etiopathogenetic Hypotheses
Francesco Frati, Alessandra D’Orazio, Valeria Gambacorta, Giacomo Ciacca, Giampietro Ricci, Mario Faralli
Audiology Research.2024; 14(3): 442. CrossRef
Evaluating the impact of COVID-19 on vertigo and hearing impairment: A post-recovery analysis
Sarah Alshehri, Khalid A. Alahmari
Medicine.2024; 103(27): e38819. CrossRef
Does dimenhydrinate delay recovery of vestibular ocular reflex in acute unilateral vestibulopathy? A retrospective comparative study
Minah Shin, Chae-Young Kim, Ji Eun Choi, Jae Yun Jung, Min Young Lee
Research in Vestibular Science.2024; 23(3): 89. CrossRef
Vestibular Dysfunction in Patients With Sickle Cell Disease: A Systematic Review
Jonathan Laredo, Sofia Torres-Small, Lin Wu, Tomoko Makishima, Celine Richard
Otology & Neurotology.2024; 45(10): 1098. CrossRef
The Inner Ear: A Primer for Radiologists, Part 1: Anatomy, Physiology, and Intrinsic Abnormalities of the Otic Capsule
E. Zamora, C. Zamora
Neurographics.2024; 14(4): 267. CrossRef
Vertigo in the Setting of COVID-19 Infection: A Case Report
Sanjana Devaragudi, Mohit Gupta
Cureus.2023;[Epub] CrossRef
Hospital Admission Profile Related to Inner Ear Diseases in England and Wales
Esra’ O. Taybeh, Abdallah Y. Naser
Healthcare.2023; 11(10): 1457. CrossRef
Symptom of vertigo and dizziness in patients with COVID-19
E. V. Isakova
Russian neurological journal.2023; 28(4): 5. CrossRef
VESTIBULAR NEURONITIS: A CLINICAL EXAMPLE OF THE COURSE OF THE DISEASE USING BIOFEEDBACK (BOS)
Geraskina M.M., Razzhivina K.S., Ustinov S.A.
"Medical & pharmaceutical journal "Pulse".2023; : 30. CrossRef
Acute vestibular neuritis: A rare complication after the adenoviral vector-based COVID-19 vaccine
Hamze Shahali, Ramin Hamidi Farahani, Parham Hazrati, Ebrahim Hazrati
Journal of NeuroVirology.2022; 28(4-6): 609. CrossRef
A Holistic Approach to a Dizzy Patient: A Practical Update
Ioannis Koukoulithras, Gianna Drousia, Spyridon Kolokotsios, Minas Plexousakis, Alexandra Stamouli, Charis Roussos, Eleana Xanthi
Cureus.2022;[Epub] CrossRef
Identification of hub genes and pathophysiological mechanism related to acute unilateral vestibulopathy by integrated bioinformatics analysis
Yajing Cheng, Jianrong Zheng, Ying Zhan, Cong Liu, Bihua Lu, Jun Hu
Frontiers in Neurology.2022;[Epub] CrossRef

Original Article

Otorhinolaryngology
Clinical significance of saccade test, smooth pursuit test, and optokinetic nystagmus test in nystagmography: Yoon Seok Choi, Hyung Gyun Na, Si Youn Song, Yong Dae Kim, Chang Hoon Bae; Yeungnam Univ J Med. 2017;34(1):29-36. Published online June 30, 2017; DOI: https://doi.org/10.12701/yujm.2017.34.1.29

5,303 View
85 Download
2 Crossref

Abstract PDF

BACKGROUND
Saccade test, smooth pursuit test, and optokinetic nystagmus test are clinically useful tests to accurately diagnose vertigo. However, there have only been a few studies regarding a correlation between the anatomical site of the lesion and the abnormality of eyeball movement in patients with vertigo. METHODS: The medical records of 97 patients with vertigo between January 2006 and June 2008 were reviewed retrospectively. We classified many kinds of abnormalities regarding the saccade test, smooth pursuit test and optokinetic nystagmus test into several categories and analyzed the localizing lesion of vertigo. RESULTS: According to the saccade test, both total saccade abnormality (S-total) and slow velocity of saccade (S-type 3) were shown to be significantly higher in the central lesion of vertigo. According to the smooth pursuit test, symmetrical unidirectional smooth pursuit abnormality (SP-type 2) was observed to be significantly higher in the peripheral lesion over vertigo. Moreover, according to the optokinetic nystagmus test, total optokinetic nystagmus abnormalities (OKN-total) were shown to be significantly useful findings in the diagnosis of the central lesion of vertigo. The coexisting abnormalities of all three tests (S+SP+OKN abnormalities) were shown to be significantly higher in the central lesion of vertigo. CONCLUSION: These results suggest that all these tests, saccade test, smooth pursuit test, and optokinetic nystagmus test, are very useful to distinguish between the central lesion and the peripheral lesion of vertigo. However, these tests are not beneficial in localizing the central lesion of vertigo.

Citations

Citations to this article as recorded by

Current diagnosis and treatment of vestibular neuritis: a narrative review
Chang Hoon Bae, Hyung Gyun Na, Yoon Seok Choi
Journal of Yeungnam Medical Science.2022; 39(2): 81. CrossRef
Dizziness in Patients With Obstructive Sleep Apnea
Jae Rim Kim, Soo Ryun Park, Hea Ree Park, Eun Yeon Joo
Journal of Sleep Medicine.2022; 19(2): 39. CrossRef

Review Article

Differential diagnosis of peripheral vertigo
Differential diagnosis of peripheral vertigo.: Chang Hoon Bae; Yeungnam Univ J Med. 2014;31(1):1-8. Published online June 30, 2014; DOI: https://doi.org/10.12701/yujm.2014.31.1.1

7,992 View
179 Download
3 Crossref

Abstract PDF

Dizziness can be classified mainly into 4 types: vertigo, disequilibrium, presyncope, and lightheadedness. Among these types, vertigo is a sensation of movement or motion due to various causes. The main causes of peripheral vertigo are benign paroxysmal positional vertigo (BPPV), acute vestibular neuritis (AVN), and Meniere's disease. BPPV is one of the most common causes of peripheral vertigo. It is characterized by brief episodes of mild to intense vertigo, which are triggered by specific changes in the position of the head. BPPV is diagnosed from the characteristic symptoms and by observing the nystagmus such as in the Dix-Hallpike test. BPPV is treated with several canalith repositioning procedures. AVN is the second most common cause of peripheral vertigo. Its key symptom is the acute onset of sustained rotatory vertigo without hearing loss. It is treated with symptomatic therapy with antihistamines, anticholinergic agents, antidopaminergic agents, and gamma-aminobutyric acid-enhancing agents that are used for symptoms of acute vertigo. Meniere's disease is characterized by episodic vertigo, fluctuating hearing loss, and tinnitus. It is traditionally relieved with life-style modification, a low-salt diet, and prescription of diuretics. However, diagnosis and treatment of the peripheral vertigo can be difficult without knowledge of BPPV, AVN, and Meniere's disease. This article provides information on the differential diagnosis of peripheral vertigo in BPPV, AVN, and Meniere's disease.

Citations

Citations to this article as recorded by

The Effect of Banhabaekchulcheonma-tang on Benign Paroxysmal Positional Vertigo: A Systematic Review Using the CNKI Database
Gi-hyeon Gwon, Seo-hye Oh, Eun-soo Park, Mi-hyeon Kim, Seung-hyo Hong, Geum-ju Song, Eun-young Park
The Journal of Internal Korean Medicine.2021; 42(4): 572. CrossRef
Korean Medicine Interventions for Benign Paroxysmal Positional Vertigo: A Systematic Review of Clinical Studies Published in Korea
Jun-su Jung, Sung-heon Jung, Min-joo Kim, Jang-kyung Park, Kwang-ho Bae, Kyung-hwan Kong, Ho-yeon Ko
The Journal of Internal Korean Medicine.2017; 38(4): 479. CrossRef
Clinical significance of saccade test, smooth pursuit test, and optokinetic nystagmus test in nystagmography
Yoon Seok Choi, Hyung Gyun Na, Si Youn Song, Yong Dae Kim, Chang Hoon Bae
Yeungnam University Journal of Medicine.2017; 34(1): 29. CrossRef

Case Report

Otorhinolaryngology
Mastoid Osteoma with Mastoiditis.: Yong Dae Kim, Si Youn Song, Chang Hoon Bae; Yeungnam Univ J Med. 2008;25(2):145-149. Published online December 31, 2008; DOI: https://doi.org/10.12701/yujm.2008.25.2.145

2,322 View
1 Download

Abstract PDF: Osteomas are benign osteoblastic tumors that occur mainly in the fronto-ethmoid areas ofthe head and neck region. When they occasionally occur in the temporal bone, the external auditory canal is the most common site of origin; they rarely occur in the mastoid region. Moreover, mastoid osteoma with mastoiditis is an extremely rare entity in the temporal bone. Recently, the authors experienced a case of mastoid osteoma with mastoiditis in the left temporal bone. The mastoid osteoma was completely resected itself without a mastoidectomy, only for correction of the cosmetic deformity; the mastoiditis was not treated. Hence, the authors report the first case of a mastoid osteoma with mastoiditis in Korea, along with a review of the related literature.

First
Prev
Page of 1
Next
Last

Search