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Steroid is effective for vestibular neuritis, valacyclovir is not

BMJ 2004; 329 doi: (Published 25 November 2004) Cite this as: BMJ 2004;329:0-f

Question Which is more effective for vestibular neuritis, valacyclovir or methylprednisolone?

Synopsis Vestibular neuritis is characterised by sustained rotatory vertigo, positive Romberg's sign falling toward the affected ear, horizontal nystagmus toward the unaffected ear, and nausea. Because vestibular neuritis is thought to be a virally triggered inflammatory condition, it makes sense that antiviral drugs or steroids may be helpful. These authors identified 141 adults presenting to two German emergency departments with vestibular neuritis diagnosed after a detailed clinical examination. They then randomised the patients (allocation concealed) to …

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