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Vestibular neuronitis - Management
Basis for recommendation
Reassurance
- The recommendation to reassure people that symptoms will settle is based on expert opinion in review articles that central vestibular compensation will eventually ameliorate symptoms [Baloh, 2003; Macleod and McAuley, 2008]. The advice on the fluctuant nature of the recovery process and factors which may affect balance more than usual is based on expert opinion from reviewers of this CKS topic.
Self-care advice
- This recommendation has been extrapolated from expert opinion in a US guideline on the management of benign paroxysmal positional vertigo [Bhattacharyya et al, 2008], guidelines from the Driver and Vehicle Licensing Agency [DVLA, 2010], expert opinion in a review article [Parnes et al, 2003], and CKS expert reviewers.
- For detailed guidance on driving, see At a glance guide to the current medical standards of fitness to drive, available to download from www.dft.gov.uk/dvla.
Rest and activity
- The recommendation to rest if necessary during the acute phase, but to encourage activity, is based on expert opinion in review articles [Hain and Uddin, 2003; Kuo et al, 2008a]. It is thought that vestibular compensation can develop more quickly and more effectively if the person is active as soon as possible [Baloh, 2003].
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