Editing Labyrinthitis (section)

==Treatment==
The treatment for vestibular neuritis depends on the cause. However, symptoms of vertigo can be treated in the same way as other vestibular dysfunctions with vestibular rehabilitation.<ref name="Burton">{{cite journal |author1=Burton M. J. |author2=Monsell E. M. |author3=Rosenfeld R. M. | year = 2008 | title = Extracts from the cochrane library: Vestibular rehabilitation for unilateral peripheral vestibular dysfunction (review) | journal = Otolaryngology–Head and Neck Surgery | volume = 138 | issue = 4| pages = 415–417 | doi=10.1016/j.otohns.2008.02.004|pmid=18359346 |s2cid=9907751 }}</ref>

===Physical therapy===
Typical treatments include combinations of head and eye movements, postural changes, and walking exercises. Specifically, exercises that may be prescribed include keeping eyes fixated on a specific target while moving the head, moving the head right to left at two targets at a significant distance apart, walking while keeping eyes fixated on a specific target, and walking while keeping eyes fixated on a specific target while also turning the head in different directions.<ref name=PT2009>{{cite journal|last=Walker|first=MF|title=Treatment of vestibular neuritis.|journal=Current Treatment Options in Neurology|date=January 2009|volume=11|issue=1|pages=41–5|pmid=19094835|doi=10.1007/s11940-009-0006-8|s2cid=37693582}}</ref>
The main function behind repeating a combination of head and eye movements, postural changes and walking is that through this repetition, compensatory changes for the dysfunctions arising from peripheral vestibular structures may be promoted in the central [[vestibular system]] ([[brainstem]] and [[cerebellum]]).<ref name=PT2009/>

[[Vestibular rehabilitation]] therapy is a highly effective way to substantially reduce or eliminate residual dizziness from labyrinthitis.<ref>{{Cite news|url=https://vestibular.org/understanding-vestibular-disorder/treatment/treatment-detail-page#|title=Vestibular Rehabilitation Therapy (VRT)|date=2011-12-27|work=Vestibular Disorders Association|access-date=2018-05-19|language=en}}</ref> VRT works by causing the brain to use already existing neural mechanisms for adaptation, [[neuroplasticity]], and compensation.<ref name="Burton" /> Vestibular neuritis rehabilitation is an effective and safe management to improve symptoms.<ref name=":12">{{Citation|last1=Fishman|first1=Jonathan M|chapter=Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis)|date=2010-07-07|pages=CD008607|editor-last=The Cochrane Collaboration|publisher=John Wiley & Sons, Ltd|language=en|doi=10.1002/14651858.cd008607|last2=Burgess|first2=Chris|last3=Waddell|first3=Angus|title=Cochrane Database of Systematic Reviews}}</ref> The vestibular neuritis rehabilitation can improve symptoms or resolve the symptoms which is dependent on each individual.<ref name=":12" />

Rehabilitation strategies most commonly used are:<ref name="Burton" />

*'''Gaze stability exercises''' – moving the head from side to side while fixated on a stationary object (aimed at assisting the eye to fixate during head rotation without the input from the lost canal [[vestibulo-ocular reflex]]).  An advanced progression of this exercise would be walking in a straight line while looking side to side by turning the head.
*'''Habituation exercises''' – movements designed to provoke symptoms and subsequently reduce the negative vestibular response upon repetition. Examples of these include [[Benign paroxysmal positional vertigo#Brandt–Daroff exercises|Brandt–Daroff exercises]].
*'''Functional retraining''' – including postural control, relaxation, and balance training.

These exercises function by challenging the vestibular system.  Progression occurs by increasing the amplitude of the head or focal point movements, increasing the speed of movement, and combining movements such as walking and head turning.<ref>{{Cite news|url=https://www.fisioterapialabirintica40.com.br/publicacoes|title=Physical Therapy Rehabilitation|access-date=2019-10-29|language=en}}</ref>

One study found that patients who believed their illness was out of their control showed the slowest progression to full recovery, long after the initial vestibular injury had healed.<ref name="Bronstein" /> The study revealed that the patient who compensated well was one who, at the psychological level, was not afraid of the symptoms and had some positive control over them. Notably, a reduction in negative beliefs over time was greater in those patients treated with rehabilitation than in those untreated. "Of utmost importance, baseline beliefs were the only significant predictor of change in a handicap at 6 months follow-up."

===Medication===
Vestibular neuritis is generally a self-limiting disease. Treatment with drugs is neither effective nor necessary. The effect of [[glucocorticoid]]s has been studied, but they have not been found to significantly affect long-term outcome.<ref>{{cite journal |last=Fishman |first=JM |author2=Burgess C |author3=Waddell A |title=Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis) |journal=Cochrane Database Syst Rev |issue=5 |pmid=21563170 |doi=10.1002/14651858.CD008607.pub2 |date=May 2011 |pages=CD008607}}</ref>

[[Symptomatic treatment]] with [[antihistaminic]]s such as [[cinnarizine]], however, can be used to suppress the symptoms of vestibular neuritis while it spontaneously regresses.<ref>{{cite journal |last=Scholtz |first=AW |author2=Steindl R |author3=Burchardi N |author4=Bognar-Steinberg I |author5=Baumann W |title=Comparison of the therapeutic efficacy of a fixed low-dose combination of cinnarizine and dimenhydrinate with betahistine in vestibular neuritis: a randomized, double-blind, non-inferiority study |journal=Clin Drug Investig |volume=32 |issue=6 |pages=387–399 |pmid=22506537 |doi=10.2165/11632410-000000000-00000 |date=June 2012|s2cid=207301804 }}</ref> [[Prochlorperazine]] is another commonly prescribed medication to help alleviate the symptoms of vertigo and nausea.

===Mental disorders===
Because mood disorders can hamper recovery from labyrinthitis, treatment may also include any co-occurring [[anxiety disorder]] or [[clinical depression|depression]]. Severe anxiety episodes are usually addressed by short-term [[benzodiazepine]] therapy.<ref>{{cite journal|last1=Solomon|first1=D|last2=Shepard|first2=NT|title=Chronic Dizziness.|journal=Current Treatment Options in Neurology|date=July 2002|volume=4|issue=4|pages=281–288|pmid=12036501|doi=10.1007/s11940-002-0028-y|s2cid=38952122}}</ref>