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Vestibular neuronitis - Management
Basis for recommendation
Referral recommendations are based on expert opinion from:
- A review article on the diagnosis of vertigo in general practice [Barraclough and Bronstein, 2009].
- A study reporting referral patterns for dizziness in primary care [Bird et al, 1998]. Referral criteria were formulated from expert opinion for this study.
- CKS expert reviewers, who suggest that it is appropriate to refer after 1 week to exclude more serious diagnoses if symptoms persist despite treatment.
Vestibular rehabilitation
- There is evidence from a Cochrane systematic review that vestibular rehabilitation is effective and has a well-established safety profile for unilateral peripheral vestibular dysfunction, and that it helps symptoms in the medium term [Hillier and Holohan, 2007].
- CKS expert reviewers suggest that the quality and availability of vestibular rehabilitation varies depending on locality.
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