Vestibular neuritis is a brutal and continuous dizzying syndrome of peripheral (vestibular) origin without cochlear or other associated involvement. Specifically, vestibular neuritis is inflammation of the nerve that innervates the vestibular canals (the inner ear). It is characterized by the sudden onset of intense and prolonged vertigo accompanied by postural imbalance, nausea and vomiting, without hearing impairment or other neurological symptoms. Vestibular neuritis is the second cause of peripheral vertigo after benign paroxysmal positional vertigo. It represents approximately 7% of patients consulting for vertigo. The purpose of this study is to evaluate if wearing Boarding Ring glasses can be accelerated vestibular compensation.
adult patients,
patient with vestibular neuritis defined by appearance of continuous rotating vertigo with nausea
patient with spontaneous horizonto-rotating nystagmus beating towards the healthy ear
patient with a postural deviation towards the affected ear;
patient with a history of vertigo of vestibular origin or with vertigo developing for more than 4 days
patient with associated hearing loss or tinnitus
patient with an motor ocular abnormality of central origin
patient refusal or inability to consent
Parallel
Caloric test
Diagnostic testLying, patientwill be placed so that he can introduce water (hot then cold) into his external ear canal. It is the reaction of the vestibular system (sensory organ responsible for balance) which is then measured with a helmet placed over his eyes and which measures the nystagmus (movement of the eye) which reflects vestibular activity.
Measurement of the speed of Nystagmus
Diagnostic testA helmet with an infrared camera will be placed in front of patient eyes. This will allow visualizing on screen and measuring eye movements spontaneous or induced in the dark by various tests.
Angle of deviation at Fukuda
Diagnostic testThe patient will be asked to trample on the spot (30 steps) with the indexes pointed forward. In the event of vestibular asymmetry, the patient turns at a varying angle to the right or to the left. This will then measure what is called the angle of deflection of the fukuda.
Alexander's degree of nystagmus
Diagnostic testthere are 3 degrees: * Degree I: nystagmus that exists only when the eyes are turned to the right. * Degree II: also exists when the eyes are to the right or to the front. * Degree Ill: exists when the eyes are on the right, front, or left
EHTEV questionnaire
Other interventionHandicap Scale for Balance Disorders and Vertigo
EEV questionnaire
Other interventionEuropean Vertigo Assessment Questionnaire
anxiety VAS
Other interventionvisual analog scale of anxiety
Variation of the angle of deviation at the Fukuda test between J0 and J7 (value at J0 minus value at J7).
Speed of nystagmus
Alexander's degree of nystagmus
Measure of the degree of intensity of nystagmus. There are 3 degrees : * Degree I: nystagmus which exists only when the eyes are turned to the right. * Degree II: also exists when the eyes are to the right or to the front. * Degree Ill: exists when the eyes are on the right, front, or left.
Duration of hospitalization (for hospitalized patients)
Anxiety visual analog scale
0 = no anxiety, 10 = maximum anxiety imaginable
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