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Vestibular neuritis — RACP Paediatrics MCQ

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ModerateNeurologyVestibular neuritisRACP Paediatrics

A 7-year-old develops acute severe vertigo, nausea, and vomiting following a viral illness. Symptoms are constant (not episodic) and persist for days. There is spontaneous nystagmus beating away from the affected side. Hearing is normal. What is the most likely diagnosis?

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Correct answer: D — Vestibular neuritis

Acute persistent vertigo (days) post-viral with spontaneous horizontal nystagmus beating away from the affected ear and normal hearing is vestibular neuritis (inflammation of the vestibular nerve). Management is supportive with short-term vestibular suppressants and early vestibular rehabilitation exercises.

Reference: RCH Melbourne – 2023 – Vertigo CPG; RACP Paediatric Curriculum – Neurology