What should you know about vestibular neuritis cause?

The vestibular nerves carry signals from the inner ear to the brain about movement and position. When one nerve becomes inflamed, the two sides send mismatched signals. The brain may interpret this mismatch as spinning, swaying or being pulled to one side. A recent cold can occur before symptoms, but the precise trigger is not always clear. Vestibular neuritis affects balance; hearing is generally preserved, whereas hearing change or ringing may suggest that other inner-ear structures are involved. Explore [Dizziness](/symptoms/dizziness/), [Vertigo](/symptoms/vertigo/) and [Ringing in the Ears](/symptoms/ringing-in-ears/) for related symptoms.

During the first phase, sit or lie down when spinning is strong, move slowly, and reduce fall hazards around you. Small sips of fluid may be easier if nausea is present. A clinician can check your eye movements, walking, hearing and neurological signs, then decide whether short-term symptom treatment or balance rehabilitation is suitable. Gentle, guided head and body movements can help the brain recalibrate as symptoms settle. Arrange a [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) if vertigo is new, persistent or interfering with walking.

Seek urgent medical help for vertigo with facial weakness, trouble speaking, a new severe headache, fainting, double vision, one-sided weakness or inability to stand. These features can signal a neurological emergency and should not be attributed to vestibular neuritis without assessment. Prompt review is also appropriate for new hearing loss, severe dehydration from vomiting, chest symptoms or worsening unsteadiness.

Ask whether your examination supports vestibular neuritis, whether hearing needs testing, which movements are safe while you recover, and when balance exercises should begin. Mention any recent [Common Cold](/conditions/common-cold/) or change in hearing, and bring a list of medicines and the time your symptoms began.