Clinical Cases
Eight hand-authored cases that exercise the workflow from history through workup through diagnosis through management. Each case carries a vignette, an examination and workup, a single-best-answer question with per-option rationale, a teaching point, and the peer-reviewed references that anchor it. The cases collectively cover the four treatment routes (proprioceptive mismatch, vestibulo-sympathetic loop, RVAS, and central reweighting) and the four common diagnostic traps (BPPV, vestibular migraine, vestibular schwannoma, and PPPD).
Clinical Cases
0 / 8 complete
- Proprioceptive mismatchfoundation
The office worker with a stiff neck and unsteadiness
Eight months of neck pain and intermittent dizziness in a 42-year-old IT consultant.
- Central reweightingtrainee
Whiplash 14 months ago, still off-balance
A 38-year-old teacher 14 months post-whiplash, with persistent visual dependence and avoidance.
- Vestibular migraine (trap)trainee
The architect with neck pain and visual sensitivity
A 36-year-old architect with cyclical neck pain and discrete vertigo episodes — the most-likely-missed diagnosis.
- BPPV (trap)foundation
Brief spinning when lying down
A 58-year-old truck driver with brief positional spinning — but is it the neck or the inner ear?
- RVASclinician
Dizziness when reversing the car
A 68-year-old retired engineer with stereotyped dizziness on sustained head rotation.
- Sympathetic loop dominanttrainee
The yoga teacher with autonomic-heavy episodes
A 44-year-old yoga teacher whose neck flare-ups bring nausea, palpitations, and pallor more than spinning.
- Schwannoma (trap)clinician
Worsening imbalance and one-sided tinnitus
A 54-year-old administrator with progressive imbalance, neck pain, and unilateral tinnitus — the catch worth not missing.
- PPPD (trap)clinician
The chronic dizzy patient who fails manual therapy
A 49-year-old with 9 months of daily unsteadiness — the wrong-route case.