Vestibular Neuritis as Clinical Presentation of COVID-19

Mat, Quentin; Noël, Antoine; Loiselet, Lindsay; Tainmont, Sophie; Chiesa‐Estomba, Carlos Miguel; Lechien, J; Duterme, Jean-Pierre

doi:10.1177/0145561321995021

Cited by 38 publications

(33 citation statements)

References 19 publications

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“…Cases of SARS-CoV-2-related VN are reported in the literature: in adults, [17][18][19] they generally appear to be associated with the typical systemic manifestations of the disease. Instead, in the only paediatric case published so far, 20 VN was the only symptom, consistent with the case report described here.…”

Section: Discussionsupporting

confidence: 91%

Case of COVID-19-induced vestibular neuritis in a child

et al. 2021

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Since the outbreak of the COVID-19 pandemic, there has been a growing need to fully understand all the possible clinical features of the epidemic, which often presents with unusual manifestations, especially in children. In this report, we describe the case of a child with a COVID-19 infection and suffering exclusively from vertigo and fever. Altogether, considering the clinical manifestation, laboratory tests and imaging, given the patient’s positivity to SARS-CoV-2 infection and its neurotropic potential, we assumed that the child had COVID-19-induced vestibular neuritis, which, in consideration of the spontaneous improvement of symptoms, did not require any therapeutic adjustments, apart from the natural compensation of the central nervous system.This case suggests the importance of having an index of suspicion for a COVID-19 infection in patients with paediatrics presenting with vertigo and adds valuable information to the limited literature on COVID-19 presentation and management in children.

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Section: Discussionsupporting

confidence: 91%

Case of COVID-19-induced vestibular neuritis in a child

et al. 2021

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“…The database search identified 15 case reports or case series (level of evidence 4) for a total of 20 patients with established SARS-CoV-2 infection. 5 – 19 All patients reported a new-onset of audio-vestibular symptoms. The mean patient age was 42.4 ± 35.1 years, while the male to female ratio was 7:13.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, the chance of triggering vomiting during the examination increases the risk of contagion. As a result, only one report described a comprehensive vestibular assessment, including a vHIT (video Head Impulse Test) evaluation (Mat et al 18 ).…”

Section: Covid-19 and Audio-vestibular Symptomsmentioning

confidence: 99%

SARS-CoV-2 (COVID-19) and audio-vestibular disorders

Fancello

Hatzopoulos

Corazzi

et al. 2021

Int J Immunopathol Pharmacol

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To describe the audio-vestibular disorders related to the newly SARS-CoV-2 infection, including the possible ototoxicity side-effects related to the use of drugs included in the SARS-CoV-2 treatment protocols. A systematic review was performed according to the PRISMA protocol. The Medline and Embase databases were searched from March 1, 2020 to April 9, 2021. Initially the search yielded 400 manuscripts, which were reduced to 15, upon the application of inclusion criteria. Sensorineural hearing loss (SNHL) is the most frequent audio-vestibular symptom described, occurring alone or in association with tinnitus and vertigo. The etiopathogenesis of the inner ear disorders related to COVID-19 infection is still poorly understood. The number of reports of COVID-19 infections associated to audio-vestibular disorders is increasing; even if the quality of the studies available is often insufficient, audio-vestibular disorders should be considered as possible manifestations to be included among the symptoms of this infection.

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“…About clinical reports, two cases of vestibular neuritis have been reported by Malayala and Raza [12] and Vanaparthy et al [13]. Another two cases have been described by Mat et al [14] with an instrumental vestibular diagnosis. With a more specific and instrumental study on 41 patients, Gallus et al described vestibular symptoms, demonstrating that 8.3% of patients experienced dizziness, only one subject experiencing spinning vertigo and dynamic imbalance, and 6.3% experienced static imbalance.…”

Section: Discussionmentioning

confidence: 96%

Benign Paroxysmal Positional Vertigo (BPPV) in COVID-19

et al. 2021

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Objective: The purpose of this article is to describe BPPV in COVID-19 patients by discussing the possible mechanisms underlying the onset of this vertigo. Methods: We studied eight patients (4 F, 4 M, aged between 44 and 69 years) with COVID-19 infections complaining of vertigo. Patients were evaluated at the end of infection with an accurate clinical history, and the investigation of spontaneous, positional and positioning nystagmus. Results: The vestibular findings showed benign paroxysmal positional vertigo (BPPV) in all the patients. Three patients had a mild phenotype of the COVID infection, whereas five subjects were hospitalized for the COVID infection and in three cases intensive care was required. Vestibular evaluation showed an involvement of posterior semicircular canals in five patients and horizontal in three. Three patients were treated with the Epley maneuver, two with Semont, one with Lempert and two with Gufoni maneuvers. Conclusions: We hypothesize that BPPV in COVID-19 infections can be relate to drugs, prolonged bed rest and to direct damage by viral infection on the peripheral vestibular system and in particular on the otolitic membrane due to the cytopathic effect of the virus and to the inflammatory response. Studies on large series of patients are needed to confirm our preliminary observation and to better evaluate the pathophysiological mechanisms underlying BPPV in these patients.

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Vestibular Neuritis as Clinical Presentation of COVID-19

Cited by 38 publications

References 19 publications

Case of COVID-19-induced vestibular neuritis in a child

Case of COVID-19-induced vestibular neuritis in a child

SARS-CoV-2 (COVID-19) and audio-vestibular disorders

Benign Paroxysmal Positional Vertigo (BPPV) in COVID-19

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