r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2023-28-4-5-15r-n-j-450Research ArticleОБЗОРLITERATURE REVIEWСимптом головокружения у пациентов с COVID-19Symptom of vertigo and dizziness in patients with COVID-19https://orcid.org/0000-0002-0804-1128ИсаковаЕ. В.IsakovaE. V.

Исакова Елена Валентиновна

 Москва

 Moscow

isakovael@mail.ruГБУЗ МО Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского (МОНИКИ)РоссияVladimirsky Moscow Regional Scientifi c Research Clinical InstituteRussian Federation202330092023284515Copyright © Исакова Е.В., 20232023Исакова Е.В.Isakova E.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/450

Симптом головокружения часто выявляется у пациентов с COVID-19. В статье обсуждаются вопросы, связанные с поражением периферического и центрального отделов вестибулярного анализатора у пациентов, инфицированных вирусом SARS-CoV-2. Описаны возможные механизмы патогенеза развития церебрального инсульта при данной вирусной инфекции, его особенности. Представлено описание форм поражения периферического отдела вестибулярного анализатора, включая вестибулярный нейронит, доброкачественное пароксизмальное позиционное головокружение, болезнь Меньера. Рассматриваются и иные возможные причины развития симптома головокружения у пациентов с COVID-19, не связанные с поражением вестибулярного анализатора.

The symptom of vertigo and dizziness is often detected in patients with COVID-19. The article discusses issues related to damage to the peripheral and vestibular parts of the vestibular analyzer in patients infected with the SARS-CoV-2 virus. The possible mechanisms of the pathogenesis of the development of cerebral stroke in this viral infection, its features are described. A description of the forms of damage to the peripheral part of the vestibular analyzer, including vestibular neuronitis, benign paroxysmal positional vertigo, Meniere’s disease, is presented. Other possible causes of the development of the symptom of vertigo and dizziness in patients with COVID-19 that are not associated with damage to the vestibular analyzer are also considered

головокружениевестибулярное головокружениевестибулярный нейронитинсультдоброкачественное пароксизмальное позиционное головокружениеCOVID-19.dizzinessvertigovestibular neuronitisstrokebenign paroxysmal positional vertigoCOVID-19.ReferencesSaniasiaya J., Kulasegarah J. Dizziness and COVID-19. Ear Nose Throat J. 2021;100(1):29–30. https://doi.org/10.1177/0145561320959573Saniasiaya J., Kulasegarah J. Dizziness and COVID-19. Ear Nose Throat J. 2021;100(1):29–30. https://doi.org/10.1177/0145561320959573Loo K.N., Tan Y.J., Narasimhalu K., Sharma K.K., Chew D.C.Y., Wong H.M et al. Cerebellar Stroke in a COVID-19 Infected Patient. a Case Report. J Crit Care Med (Targu Mures). 2021;7(2):130–135. https://doi.org/10.2478/jccm-2021-0004Loo K.N., Tan Y.J., Narasimhalu K., Sharma K.K., Chew D.C.Y., Wong H.M et al. Cerebellar Stroke in a COVID-19 Infected Patient. a Case Report. J Crit Care Med (Targu Mures). 2021;7(2):130–135. https://doi.org/10.2478/jccm-2021-0004Quenzer F., Smyres C., Tabarez N., Singh S., LaFree A., Tomaszewski C., Hayden S.R. Large Cerebellar Stroke in a Young COVID-19-Positive Patient: Case Report. J Emerg Med. 2021;61(1):29–36. https://doi.org/10.1016/j.jemermed.2021.02.004Quenzer F., Smyres C., Tabarez N., Singh S., LaFree A., Tomaszewski C., Hayden S.R. Large Cerebellar Stroke in a Young COVID-19-Positive Patient: Case Report. J Emerg Med. 2021;61(1):29–36. https://doi.org/10.1016/j.jemermed.2021.02.004Mao L., Jin H., Wang M., Hu Y., Chen S., He Q. et al. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683–690. https://doi.org/10.1001/jamaneurol.2020.1127Mao L., Jin H., Wang M., Hu Y., Chen S., He Q. et al. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683–690. https://doi.org/10.1001/jamaneurol.2020.1127Sia J. Dizziness can be an early sole clinical manifestation for COVID-19 infection: A case report. J Am Coll Emerg Physicians Open. 2020;1(6):1354–6. https://doi.org/10.1002/emp2.12185Sia J. Dizziness can be an early sole clinical manifestation for COVID-19 infection: A case report. J Am Coll Emerg Physicians Open. 2020;1(6):1354–6. https://doi.org/10.1002/emp2.12185Jafari Z., Kolb B.E., Mohajerani M.H. Hearing Loss, Tinnitus, and Dizziness in COVID-19: A Systematic Review and MetaAnalysis. Can J Neurol Sci. 2022;49(2):184–195. https://doi.org/10.1017/cjn.2021.63Jafari Z., Kolb B.E., Mohajerani M.H. Hearing Loss, Tinnitus, and Dizziness in COVID-19: A Systematic Review and MetaAnalysis. Can J Neurol Sci. 2022;49(2):184–195. https://doi.org/10.1017/cjn.2021.63Özçelik Korkmaz M., Eğilmez O.K., Özçelik M.A., Güven M. Otolaryngological manifestations of hospitalised patients with confi rmed COVID-19 infection. Eur Arch Otorhinolaryngol. 2021;278(5):1675–1685. https://doi.org/10.1007/s00405-020-06396-8Özçelik Korkmaz M., Eğilmez O.K., Özçelik M.A., Güven M. Otolaryngological manifestations of hospitalised patients with confi rmed COVID-19 infection. Eur Arch Otorhinolaryngol. 2021;278(5):1675–1685. https://doi.org/10.1007/s00405-020-06396-8Liotta E.M., Batra A., Clark J.R., Shlobin N.A., Hoff man S.C., Orban Z.S., Koralnik I.J. Frequent neurologic manifestations and encephalopathy-associated morbidity in Covid-19 patients. Ann Clin Transl Neurol. 2020;7(11):2221–2230. https://doi.org/10.1002/acn3.51210Liotta E.M., Batra A., Clark J.R., Shlobin N.A., Hoff man S.C., Orban Z.S., Koralnik I.J. Frequent neurologic manifestations and encephalopathy-associated morbidity in Covid-19 patients. Ann Clin Transl Neurol. 2020;7(11):2221–2230. https://doi.org/10.1002/acn3.51210Jung Y.W., Ha S.O., Kim J.H., Yang W.S., Park Y.S. Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(18):9461. https://doi.org/10.3390/ijerph18189461Jung Y.W., Ha S.O., Kim J.H., Yang W.S., Park Y.S. Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(18):9461. https://doi.org/10.3390/ijerph18189461Viola P., Ralli M., Pisani D., Malanga D., Sculco D., Messina L., et al. Tinnitus and equilibrium disorders in COVID-19 patients: preliminary results. Eur Arch Otorhinolaryngol. 2021;278(10):3725–3730. https://doi.org/10.1007/s00405-020-06440-7Viola P., Ralli M., Pisani D., Malanga D., Sculco D., Messina L., et al. Tinnitus and equilibrium disorders in COVID-19 patients: preliminary results. Eur Arch Otorhinolaryngol. 2021;278(10):3725–3730. https://doi.org/10.1007/s00405-020-06440-7Aldè M., Barozzi S., Di Berardino F., Zuccotti G., Consonni D., Ambrosetti U. et al. Prevalence of symptoms in 1512 COVID-19 patients: have dizziness and vertigo been underestimated thus far? Intern Emerg Med. 2022;17(5):1343–1353. https://doi.org/10.1007/s11739-022-02930-0Aldè M., Barozzi S., Di Berardino F., Zuccotti G., Consonni D., Ambrosetti U. et al. Prevalence of symptoms in 1512 COVID-19 patients: have dizziness and vertigo been underestimated thus far? Intern Emerg Med. 2022;17(5):1343–1353. https://doi.org/10.1007/s11739-022-02930-0Mekkawy D.A., Hamdy S., Abdel-Naseer M., Shehata H.S., Halfawy A.A., Shalaby N.M. et al. Neurological Manifestations in a Cohort of Egyptian Patients with COVID-19: A Prospective, Multicenter, Observational Study. Brain Sci. 2022;12(1):74. https://doi.org/10.3390/brainsci12010074Mekkawy D.A., Hamdy S., Abdel-Naseer M., Shehata H.S., Halfawy A.A., Shalaby N.M. et al. Neurological Manifestations in a Cohort of Egyptian Patients with COVID-19: A Prospective, Multicenter, Observational Study. Brain Sci. 2022;12(1):74. https://doi.org/10.3390/brainsci12010074Pavel B., Moroti R., Spataru A., Popescu M.R., Panaitescu A.M., Zagrean A.M. Neurological Manifestations of SARS-CoV2 Infection: A Narrative Review. Brain Sci. 2022;12(11):1531. https://doi.org/10.3390/brainsci12111531Pavel B., Moroti R., Spataru A., Popescu M.R., Panaitescu A.M., Zagrean A.M. Neurological Manifestations of SARS-CoV2 Infection: A Narrative Review. Brain Sci. 2022;12(11):1531. https://doi.org/10.3390/brainsci12111531Almufarrij I., Munro K.J. One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms. Int J Audiol. 2021;60(12):935–945. https://doi.org/10.1080/14992027.2021.1896793Almufarrij I., Munro K.J. One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms. Int J Audiol. 2021;60(12):935–945. https://doi.org/10.1080/14992027.2021.1896793Tang N., Li D., Wang X., Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost. 2020;18(4):844–847. https://doi.org/10.1111/jth.14768Tang N., Li D., Wang X., Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost. 2020;18(4):844–847. https://doi.org/10.1111/jth.14768Paniz-Mondolfi A., Bryce C., Grimes Z., Gordon R.E., Reidy J., Lednicky J. et al. Central nervous system involvement by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). J Med Virol. 2020;92(7):699–702. https://doi.org/10.1002/jmv.25915Paniz-Mondolfi A., Bryce C., Grimes Z., Gordon R.E., Reidy J., Lednicky J. et al. Central nervous system involvement by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). J Med Virol. 2020;92(7):699–702. https://doi.org/10.1002/jmv.25915Zubair A.S., McAlpine L.S., Gardin T., Farhadian S., Kuruvilla D.E., Spudich S. Neuropathogenesis and Neurologic Manifestations of the Coronaviruses in the Age of Coronavirus Disease 2019: A Review. JAMA Neurol. 2020;77(8):1018–1027. https://doi.org/10.1001/jamaneurol.2020.2065Zubair A.S., McAlpine L.S., Gardin T., Farhadian S., Kuruvilla D.E., Spudich S. Neuropathogenesis and Neurologic Manifestations of the Coronaviruses in the Age of Coronavirus Disease 2019: A Review. JAMA Neurol. 2020;77(8):1018–1027. https://doi.org/10.1001/jamaneurol.2020.2065Замерград М.В., Артемьев Д.В., Левин О.С. Вестибулярное головокружение при полушарных инсультах Журнал неврологии и психиатрии им. C.C. Корсакова. 2017;117(8–2):27–31. [Zamergrad M.V., Artemev D.V., Levin O.S. Vestibular vertigo in hemispheric strokes. S.S. Korsakov Journal of Neurology and Psychiatry (Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova). 2017;117(8–2):27–31. (In Russ.)]. https://doi.org/10.17116/jnevro20171178227-31Замерград М.В., Артемьев Д.В., Левин О.С. Вестибулярное головокружение при полушарных инсультах Журнал неврологии и психиатрии им. C.C. Корсакова. 2017;117(8–2):27–31. [Zamergrad M.V., Artemev D.V., Levin O.S. Vestibular vertigo in hemispheric strokes. S.S. Korsakov Journal of Neurology and Psychiatry (Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova). 2017;117(8–2):27–31. (In Russ.)]. https://doi.org/10.17116/jnevro20171178227-31Kerber K.A., Brown D.L., Lisabeth L.D., Smith M.A., Morgenstern L.B. Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Stroke. 2006;37(10):2484–7. https://doi.org/10.1161/01.STR.0000240329.48263.0dKerber K.A., Brown D.L., Lisabeth L.D., Smith M.A., Morgenstern L.B. Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Stroke. 2006;37(10):2484–7. https://doi.org/10.1161/01.STR.0000240329.48263.0dBanazadeh M., Olangian-Tehrani S., Sharifi M., MalekAhmadi M., Nikzad F., Doozandeh-Nargesi N et al. Mechanisms of COVID-19-induced cerebellitis. Curr Med Res Opin. 2022;38(12):2109–2118. https://doi.org/10.1080/03007995.2022.2141963Banazadeh M., Olangian-Tehrani S., Sharifi M., MalekAhmadi M., Nikzad F., Doozandeh-Nargesi N et al. Mechanisms of COVID-19-induced cerebellitis. Curr Med Res Opin. 2022;38(12):2109–2118. https://doi.org/10.1080/03007995.2022.2141963Klein S., Davis F., Berman A., Koti S., D’Angelo J., Kwon N. A Case Report of Coronavirus Disease 2019 Presenting with Tremors and Gait Disturbance. Clin Pract Cases Emerg Med. 2020;4(3):324–326. https://doi.org/10.5811/cpcem.2020.5.48023Klein S., Davis F., Berman A., Koti S., D’Angelo J., Kwon N. A Case Report of Coronavirus Disease 2019 Presenting with Tremors and Gait Disturbance. Clin Pract Cases Emerg Med. 2020;4(3):324–326. https://doi.org/10.5811/cpcem.2020.5.48023Malayala S.V., Jaidev P., Vanaparthy R., Jolly T.S. Acute COVID-19 Cerebellitis: A Rare Neurological Manifestation of COVID-19 Infection. Cureus. 2021;13(10):e18505. https://doi.org/10.7759/cureus.18505Malayala S.V., Jaidev P., Vanaparthy R., Jolly T.S. Acute COVID-19 Cerebellitis: A Rare Neurological Manifestation of COVID-19 Infection. Cureus. 2021;13(10):e18505. https://doi.org/10.7759/cureus.18505Emekli A.S., Parlak A., Göcen N.Y., Kürtüncü M. Anti-GAD associated post-infectious cerebellitis after COVID-19 infection. Neurol Sci. 2021;42(10):3995–4002. https://doi.org/10.1007/s10072-021-05506-6Emekli A.S., Parlak A., Göcen N.Y., Kürtüncü M. Anti-GAD associated post-infectious cerebellitis after COVID-19 infection. Neurol Sci. 2021;42(10):3995–4002. https://doi.org/10.1007/s10072-021-05506-6Schmidt D. Augensymptome bei Cerebellitis durch COVID-19: Cerebellitis, eine wenig beachtete Krankheit mit neuroophthalmologischen Befunden [Ocular symptoms in cerebellitis caused by COVID-19: Cerebellitis, a less noticed disease with neuroophthalmological fi ndings]. Ophthalmologie. 2023;120(1):2–6. (In German). https://doi.org/10.1007/s00347-022-01725-0Schmidt D. Augensymptome bei Cerebellitis durch COVID-19: Cerebellitis, eine wenig beachtete Krankheit mit neuroophthalmologischen Befunden [Ocular symptoms in cerebellitis caused by COVID-19: Cerebellitis, a less noticed disease with neuroophthalmological fi ndings]. Ophthalmologie. 2023;120(1):2–6. (In German). https://doi.org/10.1007/s00347-022-01725-0Povlow A., Auerbach A.J. Acute Cerebellar Ataxia in COVID-19 Infection: A Case Report. J Emerg Med. 2021;60(1):73–76. https://doi.org/10.1016/j.jemermed.2020.10.010Povlow A., Auerbach A.J. Acute Cerebellar Ataxia in COVID-19 Infection: A Case Report. J Emerg Med. 2021;60(1):73–76. https://doi.org/10.1016/j.jemermed.2020.10.010Chow E.K.H., Rabin B.M., Ruge J. Postinfectious coronavirus disease 2019 hemorrhagic cerebellitis: illustrative case. J Neurosurg Case Lessons. 2022;4(10):CASE22219. https://doi.org/10.3171/CASE22219Chow E.K.H., Rabin B.M., Ruge J. Postinfectious coronavirus disease 2019 hemorrhagic cerebellitis: illustrative case. J Neurosurg Case Lessons. 2022;4(10):CASE22219. https://doi.org/10.3171/CASE22219Silva V.P.R., Castro L.H.M., Calderaro M. Vestibular migraine. Arq. Neuropsiquiatr. 2022;80(5 Suppl 1):232–237. https://doi.org/10.1590/0004-282X-ANP-2022-S111Silva V.P.R., Castro L.H.M., Calderaro M. Vestibular migraine. Arq. Neuropsiquiatr. 2022;80(5 Suppl 1):232–237. https://doi.org/10.1590/0004-282X-ANP-2022-S111Sampaio Rocha-Filho P.A., Albuquerque P.M., Carvalho L.C.L.S., Dandara Pereira Gama M., Magalhães J.E. Headache, anosmia, ageusia and other neurological symptoms in COVID-19: a crosssectional study. J Headache Pain. 2022;23(1):2. https://doi.org/10.1186/s10194-021-01367-8Sampaio Rocha-Filho P.A., Albuquerque P.M., Carvalho L.C.L.S., Dandara Pereira Gama M., Magalhães J.E. Headache, anosmia, ageusia and other neurological symptoms in COVID-19: a crosssectional study. J Headache Pain. 2022;23(1):2. https://doi.org/10.1186/s10194-021-01367-8Fernández-de-Las-Peñas C., Navarro-Santana M., GómezMayordomo V., Cuadrado M.L., García-Azorín D., ArendtNielsen L., Plaza-Manzano G. Headache as an acute and postCOVID-19 symptom in COVID-19 survivors: A meta-analysis of the current literature. Eur J Neurol. 2021;28(11):3820–3825. https://doi.org/10.1111/ene.15040Fernández-de-Las-Peñas C., Navarro-Santana M., GómezMayordomo V., Cuadrado M.L., García-Azorín D., ArendtNielsen L., Plaza-Manzano G. Headache as an acute and postCOVID-19 symptom in COVID-19 survivors: A meta-analysis of the current literature. Eur J Neurol. 2021;28(11):3820–3825. https://doi.org/10.1111/ene.15040Sampaio Rocha-Filho P.A. Headache associated with COVID-19: Epidemiology, characteristics, pathophysiology, and management. Headache. 2022;62(6):650–656. https://doi.org/10.1111/head.14319Sampaio Rocha-Filho P.A. Headache associated with COVID-19: Epidemiology, characteristics, pathophysiology, and management. Headache. 2022;62(6):650–656. https://doi.org/10.1111/head.14319Caronna E., van den Hoek T.C., Bolay H., Garcia-Azorin D., Gago-Veiga A.B., Valeriani M. et al. Headache attributed to SARSCoV-2 infection, vaccination and the impact on primary headache disorders of the COVID-19 pandemic: A comprehensive review. Cephalalgia. 2023;43(1):3331024221131337. https://doi.org/10.1177/03331024221131337Caronna E., van den Hoek T.C., Bolay H., Garcia-Azorin D., Gago-Veiga A.B., Valeriani M. et al. Headache attributed to SARSCoV-2 infection, vaccination and the impact on primary headache disorders of the COVID-19 pandemic: A comprehensive review. Cephalalgia. 2023;43(1):3331024221131337. https://doi.org/10.1177/03331024221131337Çelebisoy N., Kısabay Ak.A., Özdemir H.N., Gökçay F., Durmaz G.S., Kartı D.T. et al. Vestibular migraine, demographic and clinical features of 415 patients: A multicenter study. Clin Neurol Neurosurg. 2022;215:107201. https://doi.org/10.1016/j.clineuro.2022.107201Çelebisoy N., Kısabay Ak.A., Özdemir H.N., Gökçay F., Durmaz G.S., Kartı D.T. et al. Vestibular migraine, demographic and clinical features of 415 patients: A multicenter study. Clin Neurol Neurosurg. 2022;215:107201. https://doi.org/10.1016/j.clineuro.2022.107201Sampaio Rocha-Filho P.A. Headache associated with COVID-19: Epidemiology, characteristics, pathophysiology, and management. Headache. 2022;62(6):650–656. https://doi.org/10.1111/head.14319Sampaio Rocha-Filho P.A. Headache associated with COVID-19: Epidemiology, characteristics, pathophysiology, and management. Headache. 2022;62(6):650–656. https://doi.org/10.1111/head.14319Sampaio Rocha-Filho P.A. Headache associated with COVID-19: Epidemiology, characteristics, pathophysiology, and management. Headache. 2022;62(6):650–656. doi: 10.1111/head.14319 35. Chhabra N., Grill M.F., Singh R.B.H. Post-COVID Headache: A Literature Review. Curr Pain Headache Rep. 2022;26(11):835–842. https://doi.org/10.1007/s11916-022-01086-ySampaio Rocha-Filho P.A. Headache associated with COVID-19: Epidemiology, characteristics, pathophysiology, and management. Headache. 2022;62(6):650–656. doi: 10.1111/head.14319 35. Chhabra N., Grill M.F., Singh R.B.H. Post-COVID Headache: A Literature Review. Curr Pain Headache Rep. 2022;26(11):835–842. https://doi.org/10.1007/s11916-022-01086-yCaronna E., Pozo-Rosich P. Headache as a Symptom of COVID-19: Narrative Review of 1-Year Research. Curr Pain Headache Rep. 2021;25(11):73. https://doi.org/10.1007/s11916-021-00987-8Caronna E., Pozo-Rosich P. Headache as a Symptom of COVID-19: Narrative Review of 1-Year Research. Curr Pain Headache Rep. 2021;25(11):73. https://doi.org/10.1007/s11916-021-00987-8Elibol E. Otolaryngological symptoms in COVID-19. Eur Arch Otorhinolaryngol. 2021;278(4):1233–1236. https://doi.org/10.1007/s00405-020-06319-7Elibol E. Otolaryngological symptoms in COVID-19. Eur Arch Otorhinolaryngol. 2021;278(4):1233–1236. https://doi.org/10.1007/s00405-020-06319-7Cohen B.E., Durstenfeld A., Roehm P.C. Viral causes of hearing loss: a review for hearing health professionals. Trends Hear. 2014;18:2331216514541361. https://doi.org/10.1177/2331216514541361Cohen B.E., Durstenfeld A., Roehm P.C. Viral causes of hearing loss: a review for hearing health professionals. Trends Hear. 2014;18:2331216514541361. https://doi.org/10.1177/2331216514541361Ralli M., Di Stadio A., De Virgilio A., Croce A., de Vincentiis M. Autoimmunity and Otolaryngology Diseases. J Immunol Res. 2018;2018:2747904. https://doi.org/10.1155/2018/2747904Ralli M., Di Stadio A., De Virgilio A., Croce A., de Vincentiis M. Autoimmunity and Otolaryngology Diseases. J Immunol Res. 2018;2018:2747904. https://doi.org/10.1155/2018/2747904Bae C.H., Na H.G., Choi Y.S. Current diagnosis and treatment of vestibular neuritis: a narrative review. J Yeungnam Med Sci. 2022;39(2):81–88. https://doi.org/10.12701/yujm.2021.01228Bae C.H., Na H.G., Choi Y.S. Current diagnosis and treatment of vestibular neuritis: a narrative review. J Yeungnam Med Sci. 2022;39(2):81–88. https://doi.org/10.12701/yujm.2021.01228Neuhauser H.K., Lempert T. Vertigo: epidemiologic aspects. Semin Neurol. 2009;29(5):473–81. https://doi.org/10.1055/s-0029-1241043Neuhauser H.K., Lempert T. Vertigo: epidemiologic aspects. Semin Neurol. 2009;29(5):473–81. https://doi.org/10.1055/s-0029-1241043Tarnutzer A.A., Berkowitz A.L., Robinson K.A., Hsieh Y.H., Newman-Toker D.E. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ. 2011;183(9):E571–92. https://doi.org/10.1503/cmaj.100174Tarnutzer A.A., Berkowitz A.L., Robinson K.A., Hsieh Y.H., Newman-Toker D.E. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ. 2011;183(9):E571–92. https://doi.org/10.1503/cmaj.100174Malayala S.V., Raza A. A Case of COVID-19-Induced Vestibular Neuritis. Cureus. 2020;12(6):e8918. https://doi.org/10.7759/cureus.8918Malayala S.V., Raza A. A Case of COVID-19-Induced Vestibular Neuritis. Cureus. 2020;12(6):e8918. https://doi.org/10.7759/cureus.8918Giannantonio S., Scorpecci A., Montemurri B., Marsella P. Case of COVID-19-induced vestibular neuritis in a child. BMJ Case Rep. 2021;14(6):e242978. https://doi.org/10.1136/bcr-2021-242978Giannantonio S., Scorpecci A., Montemurri B., Marsella P. Case of COVID-19-induced vestibular neuritis in a child. BMJ Case Rep. 2021;14(6):e242978. https://doi.org/10.1136/bcr-2021-242978Malayala S.V., Mohan G., Vasireddy D., Atluri P. A case series of vestibular symptoms in positive or suspected COVID-19 patients. Infez Med. 2021;29(1):117–122.Malayala S.V., Mohan G., Vasireddy D., Atluri P. A case series of vestibular symptoms in positive or suspected COVID-19 patients. Infez Med. 2021;29(1):117–122.Jung Y.W., Ha S.O., Kim J.H., Yang W.S., Park Y.S. Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(18):9461. https://doi.org/10.3390/ijerph18189461Jung Y.W., Ha S.O., Kim J.H., Yang W.S., Park Y.S. Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(18):9461. https://doi.org/10.3390/ijerph18189461Bramer S., Jaff e Y., Sivagnanaratnam A. Vestibular neuronitis after COVID-19 vaccination. BMJ Case Rep. 2022;15(6):e247234. https://doi.org/10.1136/bcr-2021-247234Bramer S., Jaff e Y., Sivagnanaratnam A. Vestibular neuronitis after COVID-19 vaccination. BMJ Case Rep. 2022;15(6):e247234. https://doi.org/10.1136/bcr-2021-247234Jeong J. Vestibular neuritis after COVID-19 vaccination. Hum Vaccin Immunother. 2021;17(12):5126–5128. https://doi.org/10.1080/21645515.2021.2013085Jeong J. Vestibular neuritis after COVID-19 vaccination. Hum Vaccin Immunother. 2021;17(12):5126–5128. https://doi.org/10.1080/21645515.2021.2013085Shahali H., Hamidi Farahani R., Hazrati P., Hazrati E. Acute vestibular neuritis: A rare complication after the adenoviral vectorbased COVID-19 vaccine. J Neurovirol. 2022;28(4–6):609–615.https://doi.org/10.1007/s13365-022-01087-yShahali H., Hamidi Farahani R., Hazrati P., Hazrati E. Acute vestibular neuritis: A rare complication after the adenoviral vectorbased COVID-19 vaccine. J Neurovirol. 2022;28(4–6):609–615.https://doi.org/10.1007/s13365-022-01087-yPicciotti P.M., Passali G.C., Sergi B., De Corso E. Benign Paroxysmal Positional Vertigo (BPPV) in COVID-19. Audiol Res. 2021;11(3):418–422. https://doi.org/10.3390/audiolres11030039Picciotti P.M., Passali G.C., Sergi B., De Corso E. Benign Paroxysmal Positional Vertigo (BPPV) in COVID-19. Audiol Res. 2021;11(3):418–422. https://doi.org/10.3390/audiolres11030039Strupp M., Dieterich M., Brandt T. The treatment and natural course of peripheral and central vertigo. Dtsch Arztebl Int. 2013;110(29–30):505–15; quiz 515–6. https://doi.org/10.3238/arztebl.2013.0505Strupp M., Dieterich M., Brandt T. The treatment and natural course of peripheral and central vertigo. Dtsch Arztebl Int. 2013;110(29–30):505–15; quiz 515–6. https://doi.org/10.3238/arztebl.2013.0505Maslovara S., Košec A. Post-COVID-19 Benign Paroxysmal Positional Vertigo. Case Rep Med. 2021;2021:9967555. https://doi.org/10.1155/2021/9967555Maslovara S., Košec A. Post-COVID-19 Benign Paroxysmal Positional Vertigo. Case Rep Med. 2021;2021:9967555. https://doi.org/10.1155/2021/9967555Di Mauro P., La Mantia I., Cocuzza S., Sciancalepore P.I., Rasà D., Maniaci A. et al. Acute Vertigo After COVID-19 Vaccination: Case Series and Literature Review. Front Med (Lausanne). 2022;8:790931. https://doi.org/10.3389/fmed.2021.790931Di Mauro P., La Mantia I., Cocuzza S., Sciancalepore P.I., Rasà D., Maniaci A. et al. Acute Vertigo After COVID-19 Vaccination: Case Series and Literature Review. Front Med (Lausanne). 2022;8:790931. https://doi.org/10.3389/fmed.2021.790931Gerb J., Becker-Bense S., Zwergal A., Huppert D. Vestibular syndromes after COVID-19 vaccination: A prospective cohort study. Eur J Neurol. 2022;29(12):3693–3700. https://doi.org/10.1111/ene.15546Gerb J., Becker-Bense S., Zwergal A., Huppert D. Vestibular syndromes after COVID-19 vaccination: A prospective cohort study. Eur J Neurol. 2022;29(12):3693–3700. https://doi.org/10.1111/ene.15546Rajkumar R.P. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52:102066. https://doi.org/10.1016/j.ajp.2020.102066Rajkumar R.P. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52:102066. https://doi.org/10.1016/j.ajp.2020.102066Lovato A., Frosolini A., Marioni G., de Filippis C. Higher incidence of Ménière’s disease during COVID-19 pandemic: a preliminary report. Acta Otolaryngol. 2021;141(10):921–924. https://doi.org/10.1080/00016489.2021.1913288Lovato A., Frosolini A., Marioni G., de Filippis C. Higher incidence of Ménière’s disease during COVID-19 pandemic: a preliminary report. Acta Otolaryngol. 2021;141(10):921–924. https://doi.org/10.1080/00016489.2021.1913288

The authors declare that there are no conflicts of interest present.