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Labyrinthitis is swelling and irritation in the inner ear. It occurs in the labyrinth of the ear, usually effecting the nerve. The labyrinth is a series of fluid-filled tubes and sacs located in the inner ear. It may affect hearing, balance, and eye movement via the 8th cranial nerve.
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Labyrinthitis is caused by damage or impairment of the labyrinth part of the cochlea. The cochlea is a fluid-filled tube containing nerve endings that transmit sound signals to the brain. Damage or impairment occur with:
Factors that may increase your chances of labyrinthitis include:
The symptoms can range from mild to severe and last for days or many weeks. Symptoms are usually temporary but rarely, can become permanent.
The most common symptoms are:
Other symptoms may include:
The doctor will ask about your symptoms and medical history. A physical exam will be done. You may also need an ear and/or a neurological exam.
This can be done with:
Images help evaluate the ears or other structues. This can be done with:
Your eyes may also be tested. This can be done with an electronystagmogram.
Treatment may include:
Medications to control the symptoms may include:
Note: Without antibiotic treatment, labyrinthitis caused by a bacterial infection can lead to permanent hearing loss or balance problems.
Some steps to help you manage your symptoms include:
Your doctor may suggest specific vestibular exercises. These exercises use a series of eye, head, and body movements to get the body used to moving without the sensation of spinning. You may work with a physical therapist to learn these.
In some cases, nausea and vomiting cannot be controlled. This can result in severe dehydration. You may need hospitalization to receive fluids and nutrients through an IV. You may also need antiemetic medication.
Rarely, labyrinthitis may be caused by a break in the membranes between the outer and inner ear. Surgery to repair the break may be required. If a tumor is causing the condition, surgery may also be needed.
To help reduce your chances of labyrinthitis:
National Institute on Deafness and Other Communication Disorders (NIDCD)
Vestibular Disorders Association
Infections of the inner ear. Vestibular Disorders Association website. Available at: http://vestibular.org/labyrinthitis-and-vestibular-neuritis. Accessed September 25, 2017.
Labyrinthitis. Family Doctor—American Academy of Family Physicians website. Available at: https://familydoctor.org/condition/labyrinthitis. Updated April 2014. Accessed September 25, 2017.
Labyrinthitis. Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/vestibular/conditions/labyrinthitis.html. Accessed September 25, 2017.
12/3/2010 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T113695/Benign-paroxysmal-positional-vertigo-BPPV: Hillier S, McDonnell M. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2010;(10):CD005397.
Last reviewed September 2018 by EBSCO Medical Review Board Marcie L. Sidman, MD Last Updated: 9/25/2017