Letter to the Editor in Reference to “New Onset Vertigo After COVID-19 Infection” – COVID-19-related Vestibular Neuritis: Case Series and Review of the Literature

Vertigo in the Setting of COVID-19 Infection: A Case Report

“…Some studies state that vertigo could be a consequence of psychological and mental stress on the patient due to the diagnosis of COVID-19 and the required isolation. It could also be due to the re-activation of the latent herpes simplex virus in the vestibulocochlear nerve in response to stress [6,18]. Azithromycin, an antibiotic taken by many COVID-19 patients to treat respiratory symptoms, is an ototoxic drug that has also been considered a cause of the audio-vestibular effects seen in COVID-19 infection [2,18].…”

“…Some were treated with antihistamines or vestibular rehabilitation only. The symptoms lasted anywhere between 10 days and 10 weeks [4][5][6][7][8][9][10].…”

“…Depending on the location of the pathology, it is classified as peripheral vertigo (vestibular components) or central vertigo (brain). Even though the relationship between SARS-CoV-2 and ear disorders is yet to be confirmed, a few authors have reported new-onset vertigo as a symptom or sequelae of COVID-19 [3][4][5][6][7][8][9][10][11]. Most cases were diagnosed with vestibular neuritis, cerebellitis, and intralabyrinthine hemorrhage and managed as per standard care along with treatment of the COVID-19 infection described by the national guidelines [12].…”