Neurological Sciences

, Volume 36, Issue 1, pp 91–95 | Cite as

Incidence, seasonality and comorbidity in vestibular neuritis

  • Ivan Adamec
  • Magdalena Krbot Skorić
  • Jadranka Handžić
  • Mario HabekEmail author
Original Article


Aims of the present study were: (1) to assess the incidence of vestibular neuritis (VN) in the adult population in two cities in Croatia, (2) to identify distribution of new VN cases in the different months and seasons by years, and (3) to identify comorbidities associated with VN. This is a prospective, population-based study conducted in the cities of Zagreb and Velika Gorica, Croatia in the 2011–2012 period. All diagnoses were confirmed either with caloric test or vestibular evoked myogenic potentials within 7 days of symptom onset. Following clinical parameters were collected from all patients: age, gender, side of the lesion, month and season of symptoms onset and comorbidities. We identified 79 new cases of VN (34 in 2011, 45 in 2012). The male to female ratio was 1.1:1. The mean age at the onset of the disease was 52.3 (range 20–86) years. The average annual incidence was 11.7 per 100,000 (95 % CI 7.8–15.6) in the 2011 period and 15.5 per 100,000 (95 % CI 11.0–20.0) in the 2012 period. For both years there was no statistically significant uneven distribution in the different months or seasons by years. The most frequent comorbidities present in VN patients were hypertension (30.4 %), diabetes mellitus (8.9 %), hyperlipidemia (7.5 %) and hypothyreosis (6.3 %). Our study has shown higher incidence of VN than previously reported. We have found no evidence of seasonality of VN and significant proportion of VN patients older than 50 years who had vascular risk factors present.


Vestibular neuritis Incidence Seasonality Comorbidities 


Conflict of interest

Dr. Adamec reports no disclosures. Mrs. Krbot Skorić reports no disclosures. Dr. Handžić reports no disclosures. Dr. Habek reports no disclosures.


  1. 1.
    Zaper D, Adamec I, Gabelić T et al (2012) Vestibular neuronitis: pathophysiology, diagnosis and treatment. Lijec Vjesn 134:340–345PubMedGoogle Scholar
  2. 2.
    Neuhauser HK, von Brevern M, Radtke A et al (2005) Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 65:898–904CrossRefPubMedGoogle Scholar
  3. 3.
    Sekitani T, Imate Y, Noguchi T, Inokuma T (1993) Vestibular neuronitis: epidemiological survey by questionnaire in Japan. Acta Otolaryngol Suppl 503:9–12CrossRefPubMedGoogle Scholar
  4. 4.
    Baloh RW (2003) Clinical practice. Vestibular neuritis. N Engl J Med 348:1027–1032CrossRefPubMedGoogle Scholar
  5. 5.
    Bilecki MM, Bernarde GE, Mezzalira R, Maestri JE, Cardoso JM, Avila FG (2005) Seasonality in vestibular disorders. Int Tinnitus J 11:185–188PubMedGoogle Scholar
  6. 6.
    Koors PD, Thacker LR, Coelho DH (2012) Seasonality of vestibular neuronitis. Otolaryngol Head Neck Surg 147(suppl2):P221CrossRefGoogle Scholar
  7. 7.
    Videla G, Bisonni A, Ciancaglini L, et al. (2013) Epidemiological and seasonal characteristics of vestibular neuritis. Neurology 80 (meeting abstracts 1):p 02.249Google Scholar
  8. 8.
    Kerber KA (2009) Vertigo and dizziness in the emergency department. Emerg Med Clin North Am 27:39–50PubMedCentralCrossRefPubMedGoogle Scholar
  9. 9.
    Edlow JA, Newman-Toker DE, Savitz SI (2008) Diagnosis and initial management of cerebellar infarction. Lancet Neurol 7:951–964CrossRefPubMedGoogle Scholar
  10. 10. Accessed 5 Jan 2013
  11. 11.
    Furuta Y, Takasu T, Fukuda S, Inuyama Y, Sato KC, Nagashima K (1993) Latent herpes simplex virus type 1 in human vestibular ganglia. Acta Otolaryngol Suppl 503:85–89CrossRefPubMedGoogle Scholar
  12. 12.
    Hirata Y, Gyo K, Yanagihara N (1995) Herpetic vestibular neuritis: an experimental study. Acta Otolaryngol Suppl 519(Suppl):93–96CrossRefPubMedGoogle Scholar
  13. 13.
    Gacek R, Gacek M (2002) The three faces of vestibular ganglionitis. Ann Otol Rhinol Laryngol 111:103–114CrossRefPubMedGoogle Scholar
  14. 14.
    Theil D, Arbusow V, Derfuss T et al (2001) Prevalence of HSV-1 LAT in human trigeminal, geniculate, and vestibular ganglia and its implication for cranial nerve syndromes. Brain Pathol 11:408–413CrossRefPubMedGoogle Scholar
  15. 15.
    Baloh RW, Ishyama A, Wackym PA, Honrubia V (1996) Vestibular neuritis: clinical–pathologic correlation. Otolaryngol Head Neck Surg 114:586–592CrossRefPubMedGoogle Scholar
  16. 16.
    Kerber K (2012) Acute Constant Dizziness. Continuum Lifelong Learning Neurol 18:1041–1059CrossRefGoogle Scholar
  17. 17.
    Chuang YM, Chern CM, Liao WH et al (2011) Comorbid intracranial vertebral artery asymmetry as a risk factor for severe vestibular neuronitis. Otol Neurotol 32:478–482CrossRefPubMedGoogle Scholar
  18. 18.
    Adamec I, Skoric MK, Handzic J et al (2013) the role of cervical and ocular vestibular-evoked myogenic potentials in the follow-up of vestibular neuritis. Clin EEG Neurosci. doi: 10.1177/1550059413483452 Google Scholar

Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  • Ivan Adamec
    • 1
  • Magdalena Krbot Skorić
    • 1
  • Jadranka Handžić
    • 2
    • 3
  • Mario Habek
    • 1
    • 3
    Email author
  1. 1.University Department of NeurologyUniversity Hospital Center ZagrebZagrebCroatia
  2. 2.Department of Otorhinolaryngology, Head and Neck SurgeryUniversity Hospital Center ZagrebZagrebCroatia
  3. 3.School of MedicineUniversity of ZagrebZagrebCroatia

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