A 38-year-old man from Mumbai presents with a 6-month history of recurrent episodes of severe vertigo lasting 4–6 hours, accompanied by left-sided hearing loss, tinnitus, and a sensation of fullness in the left ear. Between episodes, he is asymptomatic. During an acute episode, audiometry shows low-frequency sensorineural hearing loss on the left. Caloric testing reveals reduced caloric response on the left. MRI of the internal auditory canal is normal. What is the most likely diagnosis?
A 52-year-old woman presents to the ENT clinic with a 3-week history of severe vertigo, nausea, and vomiting. She reports that the room spins violently when she turns her head to the right or lies down on her right side. Hearing is normal bilaterally. Romberg test is negative. Dix–Hallpike maneuver performed on the right side reproduces vertigo with rotatory and upbeating nystagmus lasting 15 seconds. Repeat maneuver 2 minutes later produces less intense symptoms. What is the most likely diagnosis?
Ready to test yourself?
Test your ENT knowledge with AI-powered MCQs and detailed explanations — no signup required to try.
Sign up free and practice all 2 Vestibular Disorders MCQs with AI-powered explanations tailored to your performance.
Create Free Account