foundation · clinical case

Sudden vertigo, three days ago

Vignette

A 35-year-old woman presents 72 hours after sudden-onset spinning vertigo with vomiting. She has spontaneous left-beating horizontal-torsional nystagmus. Hearing is preserved. Right horizontal vHIT gain is 0.4 with overt catch-up saccades.

RCT pattern

Gain · eye / chair00.601.200.010.020.040.080.160.320.64frequency (Hz, log)Phase lead · degrees-2030800.010.020.040.080.160.320.64frequency (Hz, log)Symmetry · %-500500.010.020.040.080.160.320.64frequency (Hz, log)
Three-panel SHA summary. Shaded green = published normal band. Solid marker = patient/archetype curve; dashed = overlaid reference if shown.

Question

What is the most likely RCT pattern?