CHALLENGING CLINICAL CASE NO. 08/2001
| For the last 5 weeks, a 35 year old womana has had episodes of intense vertigo lasting several hours. Each episode is associated with tinnitus and a sense of fullness in her right ear; during the attacks, she prefers to lie on her left side. Examination during an attack shows that she has fine rotatory nystafmus, which is maximal on gaze to the left. There are no ocular palsssies, cranial-nerve signs, or long-tract signs. An audiogram shows a high-tone hearing loss in the right ear, with recruitment but not tone decay. The most likely diagnosis in the case described is |
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