Laberintitis

The laberintitis is a disease of the ear, in which the labyrinth becomes inflamed (semicircular channels of the internal ear). The most remarkable symptom is vertigo.

Context

The viral laberintitis is most frequent of all the seen in the practical clinic. It can appear like a complication of viral general diseases, like measles, parotiditis, influenza and chickenpox, although also it can happen in the absence of viral sistémica disease.

Exploration and antecedents

It begins by a severe cadre of vertigo that increases with the head movements. When it is associated with a viral sistémica infection, the patients develop one hipoacusia neurosensorial, that usually is transitory, although sometimes it is made permanent.

In the exploration we will find a irritativo nystagmus towards the side affection. The vestibular symptoms are solved generally within 48-72 hours, and later the patient afflicts a sensation of instability or imbalance, that will last time following the age more or less, physical activity and other factors that affect the balance.

Types

The serous laberintitis is another type of laberintitis that consists of a sterile ignition of the internal ear produced by chemical or toxic irritation of the membranous labyrinth, and can happen in the course of an acute or chronic otitis, a traumatism or during an operation.

Symptoms

The patients undergo of a vertigo of moderate intensity with a nystagmus directed alongside affection. Hipoacusia usually is accompanied by one neurosensorial moderate, or transitory or permanent. The supurada laberintitis happens by affectation of the internal ear by a bacterial infection, either by acute or chronic an average otitis, meningitis, or the more infrequently by a bacterial sistémica infection. Sometimes one takes place by a iatrogenic fistula during the surgery of a chronic ear.

The patients undergo fever, a severe cadre of deep vertigo and hipoacusia neurosensorial, and we will find a nystagmus towards the healthy side by cancellation of the labyrinth affection. Luckyly, this type of laberintitis is rare due to the suitable use of antibiotics.

Processing

The processing of the vestibular symptoms in all the forms of laberintitis is realized by means of vestibular sedatives for the acute phase and vestibular rehabilitation to accelerate the shim mechanisms.

References

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