{"id":13370,"date":"2025-05-28T17:57:48","date_gmt":"2025-05-28T15:57:48","guid":{"rendered":"https:\/\/ivrt.de\/?p=13370"},"modified":"2025-06-19T13:48:48","modified_gmt":"2025-06-19T11:48:48","slug":"akute-periphere-einseitige-vestibulopathie-neuritis-vestibularis-schlechtere-prognose-bei-beteiligung-des-gesamten-nervs","status":"publish","type":"post","link":"https:\/\/ivrt.de\/en\/studien-evidenz\/akute-periphere-einseitige-vestibulopathie-neuritis-vestibularis-schlechtere-prognose-bei-beteiligung-des-gesamten-nervs\/","title":{"rendered":"Acute unilateral peripheral vestibulopathy (vestibular neuritis) \u2013 prognosis is worse when the entire nerve is involved"},"content":{"rendered":"<p><strong>For Healthcare Professionals:<\/strong><\/p>\n\n\n\n<p>The <strong><a href=\"https:\/\/ivrt.de\/en\/neuritis-vestibularis\/\" data-type=\"post\" data-id=\"7427\">Vestibular neuritis<\/a><\/strong> is one of the most common causes of acute peripheral vestibular syndromes.\nIn most cases, only the <strong>uperior branch of the vestibular nerve<\/strong> is affected (sUVP). However, a new study by <strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40419799\/\" target=\"_blank\" rel=\"noreferrer noopener\">Best et al. (2025)<\/a><\/strong> demonstrated that in about one-third of patients the <strong>inferior branch<\/strong> is also involved (s+iUVP)\u2014with significant impact on severity and long-term prognosis.<\/p>\n\n\n\n<p><strong>Key findings:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>36<\/strong><strong>\u202f%<\/strong> of 96 UVP patients showed combined lesions (s+iUVP).<\/li>\n\n\n\n<li>This group demonstrated:\n<ul class=\"wp-block-list\">\n<li>Greater deviation of <strong>subjective visual vertical (SVV)<\/strong><\/li>\n\n\n\n<li>Increased <strong>ocular torsion (OT)<\/strong><\/li>\n\n\n\n<li>Higher rate of <strong>pathological head impulse tests (HIT)<\/strong><\/li>\n\n\n\n<li>Significantly reduced <strong>cVEMP amplitudes<\/strong> on the affected side<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>In <strong>long-term follow-up (~4 years)<\/strong> , s+iUVP patients had higher scores for <strong>Angst und psychische Belastung<\/strong> (The Symptom Checklist-90 R and the Vertigo Symptom Scale).<\/li>\n<\/ul>\n\n\n\n<p><strong>Clinical implications:<\/strong><\/p>\n\n\n\n<p>Early identification of s+iUVP patients using SVV, HIT, and cVEMP is essential to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>better predict prognosis<\/li>\n\n\n\n<li>initiate targeted <a href=\"https:\/\/ivrt.de\/en\/vestibulaere-rehabilitationstherapie-und-gleichgewichtstraining\/\" data-type=\"post\" data-id=\"8932\">vestibular rehabilitation<\/a> einzuleiten<\/li>\n\n\n\n<li>recognize psychosomatic sequelae at an early stage<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udc49 <strong>Interested in deepening your knowledge of vestibular neuritis?<\/strong><\/p>\n\n\n\n<p>We recommend our practical <strong><a href=\"https:\/\/ivrt.de\/en\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" data-type=\"page\" data-id=\"111\">IVRT\u00ae training to become a vestibular rehabilitation specialist<\/a> <\/strong>\u2014 including current research content, differential diagnostic testing, and therapy planning.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>For Patients \u2013 Easy to Understand<\/strong><\/p>\n\n\n\n<p><strong><a href=\"https:\/\/ivrt.de\/en\/neuritis-vestibularis\/\" data-type=\"post\" data-id=\"7427\">Vestibular neuritis<\/a> \u2013 when the whole balance nerve is affected<\/strong><\/p>\n\n\n\n<p>Sudden vertigo, nausea, sweating, and unsteadiness when walking \u2014 this can be <strong>Vestibular neuritis<\/strong> , an inflammation of the <strong>balance nerve<\/strong> in the inner ear. Many people recover well \u2014 but not everyone.<\/p>\n\n\n\n<p>Researchers have found: <strong>when the entire nerve is affected<\/strong> (not just one part), symptoms are usually stronger and recovery takes longer.<\/p>\n\n\n\n<p><strong>How can you recognize it?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stronger vertigo at the beginning<\/li>\n\n\n\n<li>More severe balance problems, especially in the dark or on uneven ground<\/li>\n\n\n\n<li>Longer-lasting unsteadiness while walking<\/li>\n\n\n\n<li>Higher risk of anxiety or a \u201cfoggy\u201d feeling even weeks or months later<\/li>\n<\/ul>\n\n\n\n<p><strong>What helps?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A <strong>thorough specialist examination<\/strong>to determine how much of the nerve is affected<\/li>\n\n\n\n<li><strong>Targeted <a href=\"https:\/\/ivrt.de\/en\/vestibulaere-rehabilitationstherapie-und-gleichgewichtstraining\/\" data-type=\"post\" data-id=\"8932\">vestibular rehabilitation<\/a><\/strong> with specially trained therapists<\/li>\n\n\n\n<li>If needed: <strong>psychological support<\/strong>if anxiety or insecurity persists<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udc49 <strong>Looking for help?<\/strong><br><br>Find specially trained therapists near you:<br><strong><a href=\"https:\/\/ivrt.de\/en\/fuer-betroffene\/therapeutensuche\/\" data-type=\"page\" data-id=\"101\">Go to IVRT\u00ae therapist search<\/a><\/strong><\/p>\n\n\n\n<p><strong>Conclusion:<\/strong><br>Additional involvement of the inferior branch of the vestibular nerve in acute unilateral vestibulopathy leads to greater vestibular impairment and may trigger prolonged symptoms. Early identification of these patients could improve clinical outcomes, accelerate recovery, and prevent secondary psychosomatic complications.<\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Die Neuritis vestibularis geh\u00f6rt zu den h\u00e4ufigsten Ursachen akuter peripherer Schwindelsyndrome. In den meisten F\u00e4llen ist ausschlie\u00dflich der superiore Anteil des Nervus vestibularis betroffen (sUVP). Eine neue Studie von Best et al. (2025) konnte jedoch zeigen, dass bei rund einem Drittel der Patient:innen auch der inferiore Anteil mit betroffen ist (s+iUVP) \u2013 mit [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":13708,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":524,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-13370","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/13370","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/comments?post=13370"}],"version-history":[{"count":0,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/13370\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media\/13708"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media?parent=13370"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/categories?post=13370"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/tags?post=13370"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}