Neuritis of the auditory nerve: symptoms and treatment

Neuritis of the auditory nerve is a malaise of the nervous system, characterized by the manifestation of the inflammatory process in the nerve, which provides the auditory function. In medical literature, this disease is also referred to as «cochlear neuritis.» Usually this pathology is diagnosed in the elderly over 50 years (more often in representatives of the stronger sex). Such people seldom seek help from a qualified specialist, considering the decrease of the auditory function as a normal process that accompanies the aging of the organism.

It is worth noting that neuritis of the auditory nerve is more often diagnosed in residents of large cities. This trend is due to the fact that in such cities there is a rather intensive background noise that negatively affects the auditory function.

Depending on the duration of the course of cochlear neuritis, three forms are distinguished: acute, subacute and chronic. Acute neuritis of the auditory nerve proceeds swiftly. Its main symptom is a decrease in the auditory function. But since there are no other signs, most people explain the loss of hearing with the presence of sulfuric cork. Chronic cochlear neuritis has a latent flow. He can not give any symptoms for a long time. Periodically gives an exacerbation.


Cochlear neuritis can begin to progress against such a backdrop:

  • osteochondrosis of the cervical spine;
  • Otitis (acute purulent or chronic)
  • influenza
  • otosclerosis, which began to progress against a background of impaired circulation of blood in the ear
  • cardiovascular ailments
  • auditory nerve atrophy. This condition can occur due to prolonged use of diuretics, antibiotics, as well as other groups of drugs that have contributed to the intoxication of the elements of the hearing aid
  • ARVI
  • Brucellosis
  • Atherosclerosis
  • swelling of the auditory nerve
  • infectious diseases — typhoid, malaria, meningococcal infection and others
  • certain types of allergies;
  • hemorrhage in the inner ear
  • the ailments of the endocrine system
  • brain trauma.

It is worth noting that more often cochlear neuritis is a complication of infectious inflammatory processes that progress in the human body. In addition to the above reasons, the development of neuritis of the auditory nerve can be smoking, regular use of alcoholic beverages, work in conditions of increased noise and vibration.


Acute neuritis of the auditory nerve arises swiftly and often against a backdrop of absolute health. It also progresses quickly. It is worth noting that the symptoms in patients are usually absent (there is no hyperthermia, no pain in the area of ​​lesion).

The main symptoms of cochlear neuritis:

  1. decreased auditory function of varying severity. If at this stage there is no complete treatment of the neuritis of the auditory nerve, the disease will progress and may lead to complete deafness
  2. ringing in the ears, intense noise (can be both permanent and periodic).

If you treat ailment with the manifestation of these symptoms, then the prognosis is usually favorable. Without adequate therapy, vestibular disorders will arise, as well as irreversible changes in the auditory organ.

The chronic form of the neuritis of the auditory nerve is characterized by alternating periods of remission and exacerbation. This form is manifested by the following symptoms:

  • Neuralgia. In the ear, there is a periodic pain caused by damage to the structures of the hearing aid
  • dizziness;
  • symptoms of intoxication. A person may experience nausea, weakness,
  • Hyperthermia, cough and sore throat are manifested if the main cause of progression of neuritis is a viral infection;
  • Symptoms such as hypertension, severe headache and «flies before the eyes» are manifested if the circulation of blood in the brain is disturbed.


If these symptoms occur, you should immediately contact a qualified specialist for a comprehensive diagnosis. The doctor first examines the patient’s ear, collects an anamnesis of life and, directly, the disease itself. If necessary, he is happy to ask clarifying questions regarding professional activities and so on. Further, additional research methods are carried out:

  1. tympanometry
  2. Audiometry
  3. Rene’s test
  4. Weber’s test.

In order to identify the true cause that caused neuritis of the auditory nerve, the patient may be referred for consultation to a narrow specialist, and also to conduct several more studies — x-ray of the skull, CT and blood biochemistry.


Before developing a treatment plan for cochlear neuritis, the true cause of the disease should be clarified. Treat patients with acute form in hospital. Therapy includes such drugs:

  • diuretics;
  • means for the normalization of metabolism
  • drugs to normalize the circulation of blood in the brain.

Detoxification therapy is also mandatory.

When treating a chronic form, it is important to eliminate the underlying etiologic factor. If infectious neuritis was diagnosed, then it should be treated with antiviral drugs, anti-inflammatory and antibacterial. In order to accelerate the metabolism in cells, antioxidants are prescribed, as well as various vitamin complexes.

Treatment of cochlear toxic neuritis involves the use of specific antidotes (substances that contribute to the removal of accumulated toxins from the human body). Symptomatic therapy is also being developed, and rehabilitation and restorative measures are being carried out. To treat this form of ailment with folk remedies is strictly contraindicated.

Treat traumatic neuritis specialists begin only after consulting a neurologist and receiving the results of a radiograph of the skull. Usually designate:

  1. anticonvulsants
  2. diuretics
  3. Vitamin Complexes
  4. analgesics

  5. Nootropic medicines.