A 35-year-old reports seconds-long bursts of vertigo triggered by lying down, sitting up, and rolling over in bed, with no hearing symptoms. A positional manoeuvre reproduces a brief, fatigable torsional-upbeat nystagmus.

Affected earContralateral ear

Both cVEMP traces are well-formed, symmetric and within normal limits — VEMP does not detect a canalith disorder.

Why are the VEMPs normal in this patient despite clear vertigo?

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Affected earContralateral ear

Both cVEMP traces are well-formed, symmetric and within normal limits — VEMP does not detect a canalith disorder.

Why are the VEMPs normal in this patient despite clear vertigo?

Select an option to continue.

← All clinical cases

Brief spins on rolling over in bed, with normal VEMPs

Why are the VEMPs normal in this patient despite clear vertigo?

Brief spins on rolling over in bed, with normal VEMPs

Why are the VEMPs normal in this patient despite clear vertigo?