Treatment of Vestibular Neuronitis: Managing Acute Vertigo, Nausea, and Vomiting

Clinical scenario

Vestibular neuronitis presents with sudden, incapacitating vertigo accompanied by severe nausea and vomiting that may render oral intake impossible. Structured acute management is needed to control symptoms promptly while supporting recovery of vestibular function.

Treatment approach

Management combines symptomatic control — including vestibular suppressants and antiemetics — with fluid support when oral intake is difficult, targeted pharmacological therapy, and a structured vestibular rehabilitation programme. The complete agent selection, administration guidance, and rehabilitation protocol are set out in the full regimen.

Expected outcomes

Severe nausea and vomiting improve significantly over 1–3 days; severe vertigo improves markedly within a day or two, with residual symptoms gradually resolving over the following weeks.

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References

DOI: 10.12701/yujm.2021.01228

Therefore, if food intake is difficult, appropriate fluid therapy is needed, and vestibular suppressants and antiemetics should be administered.
Patients with vestibular neuritis should exercise for at least 30 minutes three times a day.
Most vertiginous patients experience severe nausea and vomiting, which improve significantly over a period of 1 to 3 days.
Severe vertigo improves markedly within a day or two, with residual symptoms gradually resolving over the following weeks.

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