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Vestibularisnevritt

Sist revidert:
Sist revidert av:
Definisjon:
Plutselig funksjonssvikt av n. vestibularis på en side. Antatt årsak er reaktivering av herpes simplex eller andre nevrotrope virus.
Forekomst:
I Norge ca. 10-15 sykehusinnleggelser per 100.000 per år.
Symptomer:
Akutt debut med vertigo ("alt går rundt"), kvalme/brekninger, falltendens. Svimmelheten er konstant tilstede, og symptomene forverres ved bevegelse, varighet mer enn 24 timer.  
Funn:
Vedvarende spontannystagmus mot frisk side, falltendens mot syk side, positiv hodeimpulstest mot syk side (HINTS+).
Diagnostikk:
Klinisk diagnose med objektivt målbart funksjonsutfall i nervus vestibularis. Kan skilles fra slag ved HINTS-tester (krever øvelse), ev. CT/MR
Behandling:
Selvhelbredende tilstand. Tidlig mobilisering, ev. antihistaminer og/eller antiemetika, ev. prednisolon. Krever oftest innleggelse for å skille fra hjerneslag.
  1. Vestibularisnevritt. Nasjonalt kompetansesenter for vestibulære sjukdommar. Handbok for helsepersonell. Helse Bergen, Haukeland universitetssykehus. Sist endret 28.06.2014 [url]http://www.helse-bergen.no/no/OmOss/Avdelinger/vestibulaere-sjukdommar/handbok-for-helsepersonell/Sider/vestibularisnevritt.aspx[/url] Siden lest 08.03.2023.
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Frederik Kragerud Goplen, øre-nese-hals spesialist, overlege Haukeland sykehus, Bergen
  • Stein Helge Glad Nordahl, øre-nese-hals spesialist, overlege Haukeland sykehus, Bergen