What is vestibular neuritis? Vestibular neuritis affects the nerve that carries balance information from the inner ear to the brain. It commonly causes sudden continuous spinning, nausea, vomiting and difficulty walking. Symptoms are usually strongest during the first one to three days and then gradually improve.
How is it different from BPPV? BPPV causes brief attacks triggered by head movement. Vestibular neuritis usually causes prolonged vertigo lasting hours or days, although movement can make it feel worse.
Diagnosis Diagnosis is based on the symptom pattern, eye movements, balance examination and neurological assessment. New hearing loss may suggest labyrinthitis or another inner-ear disorder. Brain imaging may be required when symptoms are atypical or stroke is a concern.
Treatment and recovery Short-term medicines may be prescribed for severe nausea or vertigo. Prolonged use of vestibular suppressants can delay compensation, so they should be used only as directed. Early safe movement and vestibular rehabilitation exercises may help the brain adapt. Recovery often continues over several weeks, although temporary imbalance can last longer.
Urgent assessment is required for weakness, facial drooping, speech difficulty, severe new headache, double vision or inability to walk.
Frequently Asked Questions
Does vestibular neuritis affect hearing?
New hearing loss is not typical and requires further assessment.
How long does vertigo last?
Severe vertigo often lasts one to three days, followed by gradual improvement.
Can exercises help?
Vestibular rehabilitation can support compensation and balance recovery.
When is it urgent?
With neurological symptoms, severe headache, double vision or inability to walk.
This information is for education only and does not replace medical assessment or treatment by a qualified physician.