Progressive vestibular dysfunction in unilateral acute otitis media with serous labyrinthitis: a case report

Patients with vertigo and labyrinthitis secondary to acute otitis media typically exhibit variable vestibular symptoms, with unidirectional irritative nystagmus serving as a cardinal diagnostic sign. Integration of audiological and vestibular function assessments, including meticulous surveillance of clinical evolution, is paramount to prevent misdiagnosis or treatment delay. The differential impacts of toxic versus inflammatory mediators on inner ear physiology may render early combination therapy with antibiotics and glucocorticoids particularly efficacious.

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Publication Details

Journal
Journal of Medical Case Reports
Published
2025-11-27
DOI
https://doi.org/10.1186/s13256-025-05651-y
Primary Topic
Vestibular and auditory disorders
Type
article
Field-Weighted Citation Impact
0.00

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article

Progressive vestibular dysfunction in unilateral acute otitis media with serous labyrinthitis: a case report

Qing Hai Yuan, Jie Du, Zhiyuan Tang, Yunwen Wu et al.
Journal of Medical Case Reports
Vestibular and auditory disorders
article

Progressive vestibular dysfunction in unilateral acute otitis media with serous labyrinthitis: a case report

Qing Hai Yuan, Jie Du, Zhiyuan Tang, Yunwen Wu, Xiaoyan Zhang, Yan Li, Liqing Chen, Qiang Wu, Nannan Zhang
article en

Abstract

Patients with vertigo and labyrinthitis secondary to acute otitis media typically exhibit variable vestibular symptoms, with unidirectional irritative nystagmus serving as a cardinal diagnostic sign. Integration of audiological and vestibular function assessments, including meticulous surveillance of clinical evolution, is paramount to prevent misdiagnosis or treatment delay. The differential impacts of toxic versus inflammatory mediators on inner ear physiology may render early combination therapy with antibiotics and glucocorticoids particularly efficacious.

Journal of Medical Case ReportsVol. 19(1)
BGI Group (China) (CN), Shenzhen University (CN), Key Laboratory of Guangdong Province (CN), University of Hong Kong - Shenzhen Hospital (CN)
Shenzhen University, Science, Technology and Innovation Commission of Shenzhen Municipality
Openalex Percentile: Top 56%
Vestibular and auditory disorders
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