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Vestibular neuronitis - Management
When should I admit or refer a person with vestibular neuronitis?
- Admit the person to hospital if they have severe nausea and vomiting and cannot tolerate oral fluids or symptomatic drug treatment.
- Refer the person to a balance specialist (audiovestibular physician or neurologist — depending on local protocol) for further assessment or consideration of vestibular rehabilitation, (involving exercises to promote central nervous system compensation) if:
- Symptoms are not typical of vestibular neuronitis (for example additional neurological symptoms).
- Symptoms persist without improvement for more than 1 week despite treatment (urgently refer).
- Symptoms persist for longer than 6 weeks — investigation to exclude other causes, or vestibular rehabilitation may be required.
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