Inflammation of the vestibular nerve (vestibular neuronitis, VN) is the third most common reason of peripheral vertigo. Many VN reasons lead to a thorough approach to the patient and diagnostics based on excluding even the rarest causes. Such a cause may be infection with Borrelia burgdorferi, which, due to high tropism to the nervous system, damages the sheath of nerve cells, causing inflammation. The acute course of the disease provokes the use of standard treatment in the form of pharmacotherapy e.g.: with neuroleptics, anxiolytics and then beta-blockers, betahistine. The literature, however, clearly indicates the limitations of pharmacology, which weaken the vestibular compensation, prompting the rapid discontinuation of drugs and the commencement of rehabilitation. This publication presents a case report of a 37-year-old female patient diagnosed with VN and Lyme disease. The case is to present and analyze the progress of vestibular rehabilitation along with the accompanying causal treatment.
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