Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • vertigo
  • dizziness
  • nausea and vomiting
  • hearing loss
  • otorrhea

Other diagnostic factors

  • nystagmus
  • tinnitus
  • vertigo-related quick head or body movements
  • influenza-like symptoms
  • otalgia

Risk factors

  • viral infections
  • chronic suppurative otitis media
  • acute otitis media
  • cholesteatoma
  • meningitis
  • inner ear malformations
  • autoimmune ear diseases
  • syphilis

Diagnostic investigations

1st investigations to order

  • audiogram
  • Weber test
  • Rinne test
Full details

Investigations to consider

  • MRI brain
  • electronystagmography
  • rotary chair test
  • vestibular-evoked myogenic potentials
  • syphilis serology
  • CSF Gram stain and culture
  • serum HIV rapid test
  • basic metabolic profile (including BUN and creatinine)
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Brandon Isaacson

Associate Professor

Department of Otolaryngology-Head & Neck Surgery

University of Texas Southwestern Medical Center

Dallas

TX

Disclosures

BI is an author of a reference cited in this monograph.

Peer reviewers VIEW ALL

Assistant Professor

The Otology Group of Vanderbilt

Nashville

TN

Disclosures

MB declares that he has no competing interests.

Assistant Professor & Director

Neurotology Otolaryngology-Head & Neck Surgery

UCSD

San Diego

CA

Disclosures

JKD declares that she has no competing interests.

Senior Lecturer in Otolaryngology

Honorary Consultant Otolaryngologist

Glasgow Royal Infirmary

Glasgow

UK

Disclosures

IS declares that he has no competing interests.

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