Case 06 · clinician
Fluctuating hearing and vertigo over 18 months
Vignette
A 51-year-old woman has had four episodes of vertigo over 18 months, each lasting 4–6 hours with associated left aural fullness and worsening of her low-frequency hearing loss. Between attacks she is symptom-free. Bucket SVV values across four visits: −3.5° (during attack), −2° (1 week later), −0.5° (1 month later), −3° (during the next attack two months later).
SVV trace
Fluctuating ipsilesional tilt — larger during attacks, normalising between