Etiology

• Idiopathic
• Viral

Presentation

• Spontaneous Vertigo lasting multiple hours in a day, peripheral cause → days to weeks, cont.

• Nystagmus (peripheral picture)

  

• Sick, bed-riden, disabling

• N/V - Nausea/vomitting

• If vestibular labyrinthitis, SNHL

  • Likely viral cause

Physical Exam

• Tested using HINT

Management

• Self-limiting
• Respond well to course of Oral Corticosteroid (OCS)