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 Ailments > Labyrinthitis
 
Ailment Details | FAQ
 
Introduction
Inflammation of the semicircular canals (labyrinth) in the inner Ear, which contains the organs of balance and the receptor for hearing.
The semicircular canals of the inner Ear (labyrinth) become inflamed. This disrupts their function, including the regulation of balance.
Risk factors include the following:
  • Recent viral illness, Respiratory infection, or Ear infection
  • Use of prescription or nonprescription drugs (especially aspirin)
  • Stress
  • Fatigue
  • A history of Allergy, smoking, or heavy alcohol consumption.
 
Types
  • Purulent labyrinthitis - when caused by bacteria
  • Bacterial labyrinthitis
  • Viral labyrinthitis
 
Causes
The cause of labyrinthitis is unknown, but because it commonly occurs following Otitis media (Ear infection) or an upper Respiratory infection (URI), it is thought to be a consequence of viral or bacterial infection. It may also follow Allergy, cholesteatoma, or the ingestion of certain drugs that are toxic to the inner Ear.
  • Viral infection in the inner Ear.
  • Bacterial infection in the inner Ear.
  • Chronic middle-Ear infection.
  • Ingestion of toxic drugs.
  • Allergy.
It may be a complication of:
  • Cholesteatoma
  • Middle Ear infection
  • Mumps
 
Symptoms and Signs
  • Vertigo
  • Balance problems
  • Dizziness
  • Jerky Eye movements
  • Nystagmus
  • Hearing loss
  • Partial hearing loss
  • Total hearing loss
  • Deafness
  • One-sided hearing loss
  • Nausea
  • Vomiting
  • Falling
  • Loss of balance
  • Ringing in the ears
  • Tinnitis
  • Ear pain
  • Symptoms worse on movement
  • Symptoms worse on suddenly sitting up
 
Diagnosis
An Ear examination may not reveal any changes.
Differentiation from other causes of dizziness or vertigo may include:
  • Head CT scan or MRI scan
  • Hearing testing (audiology/audiometry)
  • Caloric stimulation (tests reflexes of the Eye)
  • Electronystagmography
  • EEG, evoked auditory potential studies
 
Management
  • Ear fluid drainage
  • Mastoidectomy
  • Antibiotics
  • Antivirals
  • Bed rest
  • Medications for vertigo
  • Medications for Vomiting
  • Surgical drainage
Labyrinthitis usually runs its course over a few weeks. However, symptoms may need treatment. Your doctor may prescribe an antibiotic to treat the infection.

To prevent worsening of symptoms during episodes of labyrinthitis, try the following:
Keep still and rest during attacks.
Gradually resume activity.
Avoid sudden position changes.
Do not try to read during attacks.
Avoid bright lights.
Assistance while walking may be needed during attacks. Avoid hazardous activities such as driving, operating heavy machinery, and climbing until one week after symptoms have disappeared.
 
Prevention
Prompt treatment of Respiratory infections and Ear infections may help prevent labyrinthitis.
 
Prognosis
Recovery is usually spontaneous and hearing usually returns to normal.
Surgical intervention is needed for good prognosis.
 
Complications
  • Brain infection
  • Meningitis - mainly for bacterial type of labyrinthitis
  • Hearing impairment
  • Recurrences of Ear infections injury to self or others during attacks of Vertigo
  • Permanent hearing loss in the affected Ear (rare)
 
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