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Vestibular neuronitis in a child with coronavirus disease 2019 infection and review of the literature

Published online by Cambridge University Press:  16 November 2022

A Goulioumis Open the ORCID record for A Goulioumis [Opens in a new window] ,
M Angelopoulou ,
M Athanasopoulos Open the ORCID record for M Athanasopoulos [Opens in a new window]  and
K Kourelis
A Goulioumis*
Affiliation:
Department of Otorhinolaryngology, Karamandanio Children's Hospital, Patras, Greece
M Angelopoulou
Affiliation:
Department of Otorhinolaryngology, Karamandanio Children's Hospital, Patras, Greece
M Athanasopoulos
Affiliation:
Department of Otorhinolaryngology, University of Patras Medical School, Patras, Greece
K Kourelis
Affiliation:
Department of Otorhinolaryngology, Karamandanio Children's Hospital, Patras, Greece
*
Author for correspondence: Dr Anastasios Goulioumis, Erythrou Stavou 40, 26331 Patras, Greece E-mail: goulioum@upatras.gr
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Abstract

Objective

This article presents the case of an adolescent with asymptomatic coronavirus disease 2019 infection who had vestibular neuronitis symptoms.

Method and results

The new coronavirus disease 2019 demonstrates neurotropic properties, apart from airway symptoms. Early in the pandemic, coronavirus disease 2019 infection had been associated with olfactory disturbances. Accumulative evidence supports that both the infection with coronavirus disease 2019 and the vaccination against the virus may induce a condition of vestibular hypofunction, known as vestibular neuronitis. Coronavirus disease 2019 may directly affect the vestibular organs and ganglia, or indirectly damage them via immune-mediated mechanisms. In most cases, complete recovery is achieved with the typical therapeutic approaches for vestibular neuronitis, consisting of supportive measures and corticosteroids.

Conclusion

Physicians may expect an increased incidence of vestibular neuronitis during the coronavirus disease 2019 pandemic. Conversely, coronavirus disease 2019 infection should be considered in patients with sudden vestibular symptoms.

Keywords

CoronavirusInner EarVertigoInfectious Diseases

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 2 , February 2023 , pp. 222 - 224
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A Goulioumis takes responsibility for the integrity of the content of the paper

References

Tsang, HF, Chan, LWC, Cho, WCS, Yu, ACS, Yim, AKY, Chan, AKC et al. An update on COVID-19 pandemic: the epidemiology, pathogenesis, prevention and treatment strategies. Expert Rev Anti Infect Ther 2021;19:877–88CrossRefGoogle ScholarPubMed
Meng, X, Deng, Y, Dai, Z, Meng, Z. COVID-19 and anosmia: a review based on up-to-date knowledge. Am J Otolaryngol 2020;41:102581CrossRefGoogle ScholarPubMed
Jeong, SH, Kim, HJ, Kim, JS. Vestibular neuritis. Semin Neurol 2013;33:185–94CrossRefGoogle ScholarPubMed
Ekobena, P, Rothuizen, LE, Bedussi, F, Guilcher, P, Meylan, S, Ceschi, A et al. Four cases of audio-vestibular disorders related to immunisation with SARS-CoV-2 mRNA vaccines. Int J Audiol 2022. Epub 2022 May 5CrossRefGoogle ScholarPubMed
Kaliyappan, K, Chen, YC, Krishnan Muthaiah, VP. Vestibular cochlear manifestations in COVID-19 cases. Front Neurol 2022;13:850337CrossRefGoogle ScholarPubMed
Malayala, SV, Mohan, G, Vasireddy, D, Atluri, P. A case series of vestibular symptoms in positive or suspected COVID-19 patients. Infez Med 2021;29:117–22Google ScholarPubMed
Halalau, A, Halalau, M, Carpenter, C, Abbas, AE, Sims, M. Vestibular neuritis caused by severe acute respiratory syndrome coronavirus 2 infection diagnosed by serology: case report. SAGE Open Med Case Rep 2021;9:2050313X211013261Google ScholarPubMed
Mat, Q, Noël, A, Loiselet, L, Tainmont, S, Chiesa-Estomba, CM, Lechien, JR. Vestibular neuritis as clinical presentation of COVID-19. Ear Nose Throat J 2021;11:145561321995021Google Scholar
Motawea, KR, Monib, FA. New onset vertigo after COVID-19 infection. A case report. Indian J Otolaryngol Head Neck Surg 2021. Epub 2021 Jul 4Google ScholarPubMed
Cetin, YS. Vestibular neuronitis associated with an adult male COVID-19 infection: a case report. J Pak Med Assoc 2022;72:354–6CrossRefGoogle ScholarPubMed
Charpiot, A, Hautefort, C, Jourdaine, C, Lavielle, J-P, Levy, D, Poillon, G et al. Study of the comorbidity between cases of acute peripheral vestibulopathies and COVID-19. Otol Neurotol 2021;42:e1072–6CrossRefGoogle ScholarPubMed
Aghagoli, G, Gallo Marin, B, Katchur, NJ, Chaves-Sell, F, Asaad, WF, Murphy, SA. Neurological involvement in COVID-19 and potential mechanisms: a review. Neurocrit Care 2021;34:1062–71CrossRefGoogle ScholarPubMed
Jeong, J. Vestibular neuritis after COVID-19 vaccination. Hum Vaccin Immunother 2021;17:5126–8CrossRefGoogle ScholarPubMed
Kamogashira, T, Funayama, H, Asakura, S, Ishimoto, S. Vestibular neuritis following COVID-19 vaccination: a retrospective study. Cureus 2022;14:e24277Google ScholarPubMed
Giannantonio, S, Scorpecci, A, Montemurri, B, Marsella, P. Case of COVID-19-induced vestibular neuritis in a child. BMJ Case Rep 2021;14:e242978CrossRefGoogle ScholarPubMed
Ong, KMC, Cruz, TLG. Otologic and vestibular symptoms in COVID-19: a scoping review. World J Otorhinolaryngol Head Neck Surg 2022. Epub 2022 Apr 6CrossRefGoogle ScholarPubMed
Bokhary, H, Chaudhry, S, Abidi, SMR. Labyrinthitis: a rare consequence of COVID-19 infection. Cureus 2021;13:e17121Google ScholarPubMed