Case 10 · trainee

Persistent dizziness six months after vestibular neuritis

Vignette

A 45-year-old man had an episode of vestibular neuritis six months ago. He recovered the rotational vertigo within three weeks. However, he reports persistent non-spinning dizziness, unsteadiness when walking in supermarkets and crowds, and visual motion sensitivity. Bedside neuro-otological examination is normal. Bucket SVV is −0.5° with a normal SD. Caloric testing shows full recovery on the previously affected side.

SVV trace

-0.5° ± 1.0°
SVV finding

Normal — consistent with PPPD

What is the most likely diagnosis?

← Episodic vertigo, headache, and a wandering SVVAll casesStroke patient who resists being made upright →
Subjective Visual Vertical

An interactive teaching atlas of Subjective Visual Vertical for the assessment of otolith-graviceptive function — bucket and digital technique, dynamic SVV, normal findings, and the tilt signatures of peripheral and central vestibular disease. Content synthesised from current Bárány Society criteria, peer-reviewed vestibular literature, and standard otoneurology texts.

→ Full references & acknowledgements
Built for

Medical students, ENT / Neurology / Audiology trainees, vestibular therapists, and clinicians who want to teach themselves the language of vertigo.

Concept & design
Dr Prahlada N.B

Karnataka ENT Hospital and Research Centre (R),
Champions Educational and Medical Society (R),
Amogh Foundation, Chitradurga, Karnataka, India

Please share your valuable feedback to:
prahladnb@kenthospitals.com

Disclaimer

For educational purposes only. Not for clinical use. The Subjective Visual Vertical chapter is an instructional resource intended to support learning about SVV and the assessment of otolith-graviceptive function. Clinicians remain completely responsible for the interpretation of findings, the formulation of a differential diagnosis, and any clinical decision. Nothing in this application replaces individualized assessment, hands-on training, expert consultation, or established practice guidelines.

A publication of
© 2026 Dr Prahlada N.B · Karnataka ENT Hospital and Research Centre (R) · Champions Educational and Medical Society (R) · Amogh Foundation, Chitradurga, Karnataka, India
Feedback