How to differentiate clinically vestibular neuritis from “vestibular pseudoneuritis“

Background and objective: Vestibular neuritis (VN) is characterized by rotatory vertigo, horizontal rotatory spontaneous nystagmus, tendency to fall and unilateral functional deficit of the horizontal canal. The most important differential diagnosis is “vestibular pseudoneuritis“ (VPN) which is caused by central “fascicular“ lesions of the vestibular nerve, vestibular nucleus or vestibulo-cerebellum and most often due to ischemia or inflammation. This diagnosis is especially difficult in those patients who do not have additional non-vestibular brainstem signs. The aim of this study was to look for clinically use…