Symptoms of vestibular neuropathy can vary slightly depending on the location of the lesion in the intracranial and extracranial segments of the vestibular nerve. In the case of extracranial vestibular nerve lesions, the patient will experience dizziness, visual rotation, nausea, and vomiting, most often due to inflammation of the external ear or cholesteatoma blocking the vagus edema. In the case of intracranial lesions of the vestibular nerve, patients may also experience dizziness, visual rotation with tinnitus, and in some cases, hearing loss, with a shorter duration of symptoms caused by lesions of the extracranial segment of the vestibular nerve. For example, patients with otoliths may experience increased dizziness when they turn over and get up or sit up, and the symptoms may be relieved when the body is lying down.