# Vestibular Neuritis Associated With COVID-19 Infection: A Case Report and Literature Review on the Time Course and Recovery

## TL;DR

This paper reports a case of vestibular neuritis following a COVID-19 infection and discusses the long-term effects on the patient's balance and autonomic nervous system.

## Contribution

The study provides a detailed case report and literature review on the time course and recovery of vestibular neuritis associated with COVID-19.

## Key findings

- The patient showed typical recovery patterns in vestibular tests over seven months.
- Persistent postural instability and orthostatic hypotension indicated autonomic nervous system dysfunction.
- The case highlights the potential for long-term vestibular effects from COVID-19.

## Abstract

The pathophysiology of coronavirus disease 2019 (COVID-19) remains elusive, although it has been associated with symptoms such as dizziness and vertigo. Here, we report a case of vestibular neuritis following COVID-19 in a 57-year-old man who presented with rotational vertigo and dizziness exacerbated by neck rotation. The video head impulse test (vHIT) and ocular vestibular evoked myogenic potential (oVEMP) initially indicated right superior vestibular neuritis. Over a seven-month follow-up, improvements in vHIT and oVEMP were consistent with typical vestibular neuritis recovery; however, persistent postural instability and prolonged orthostatic hypotension suggested additional autonomic nervous system dysfunction. This case highlights the potential long-term vestibular impact of COVID-19.