Module · Clinical cases

Clinical Cases

Nine hand-authored vignettes spanning the disease modules of the atlas, each with a single-best-answer diagnostic question, per-option rationale, teaching point, and references. Work through the cases at your level — Foundation cases test recognition, Trainee cases test differentials, Clinician cases test the subtler traps.

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  1. 1
    Trainee→ Superior Canal Dehiscence Syndrome

    The patient who hears her own eyeballs

    A 38-year-old woman with autophony, sound-induced vertigo, and a peculiar audiogram.

  2. 2
    Foundation→ Vestibular Neuritis

    Day three of unstoppable vertigo

    A 52-year-old man with sudden persistent vertigo. The HINTS examination is the test that decides whether to admit or discharge.

  3. 3
    Clinician→ Vestibular Neuritis

    The neuritis with a normal head impulse

    A 41-year-old with acute vertigo and a normal lateral head impulse — but selective evidence of saccular dysfunction.

  4. 4
    Foundation→ Ménière's Disease

    Episodic vertigo with fluctuating hearing

    A 47-year-old woman with recurrent attacks of vertigo, tinnitus, and aural fullness on the left.

  5. 5
    Foundation→ Benign Paroxysmal Positional Vertigo

    Vertigo when she rolls over in bed

    A 64-year-old woman with brief vertigo triggered by lying down and rolling onto her left side.

  6. 6
    Trainee→ Vestibular Neuritis

    Quietly progressive hearing loss in one ear

    A 58-year-old man with gradual left-sided hearing loss, intermittent unsteadiness, and a unilateral abnormal head impulse.

  7. 7
    Clinician→ Multiple Sclerosis

    Double vision on lateral gaze

    A 27-year-old woman with diplopia, mild vertigo, and a curious eye-movement finding.

  8. 8
    Clinician→ Superior Canal Dehiscence Syndrome

    Recurrent symptoms after stapes surgery

    A 44-year-old woman who had a stapedectomy two years ago for 'otosclerosis' but whose symptoms returned and evolved.

  9. 9
    Clinician→ Cerebellar Disorders

    Six weeks of worsening ataxia in a woman with lung cancer

    Subacute cerebellar syndrome, opsoclonus, normal hearing — and a recent cancer diagnosis that reframes the differential.

How to use these cases

Read the vignette carefully — including any audiogram or examination findings provided. Pick the single best answer before clicking "Reveal answer". The reveal shows the rationale for every option, not just the one you picked — the cases teach as much from why the wrong answers are wrong as from why the correct one is correct.

Your progress is saved locally in this browser. The completion dots on the case cards above turn green as you complete each case. Resetting case progress is available from the My Progress page.