Clinical cases
Eight bedside-style scenarios, each with a vignette, the relevant test results, and a single-best-answer diagnostic question. Worked-through teaching points link back to the relevant chapter.
Loud sounds make the room spin
A 42-year-old architect describes a year of episodic vertigo triggered by loud sounds, particularly the alarm bell of her bicycle. She has n…
Acute vertigo that won't quit
A 31-year-old teacher presents with 5 days of severe rotational vertigo, nausea, and oscillopsia, having woken with the symptoms after a rec…
Vertigo without canal paresis
A 56-year-old man presents with 10 days of disequilibrium and rotational vertigo after a viral upper respiratory illness. Caloric responses …
Episodic vertigo with fluctuating hearing
A 49-year-old woman has had four episodes of rotational vertigo lasting 2–4 hours over the past 6 months, each accompanied by left-sided aur…
Recurrent positional vertigo
A 67-year-old woman has had three episodes of right posterior canal BPPV over 18 months, each successfully treated with the Epley manoeuvre.…
Asymmetric hearing loss
A 58-year-old engineer reports progressive right-sided hearing difficulty over 18 months. He has occasional unsteadiness but no rotational v…
Brainstem signs with a normal MRI
A 28-year-old woman presents with three weeks of unsteadiness, intermittent diplopia, and a 'pulling' sensation on left lateral gaze. Six mo…
The pseudoconductive audiogram
A 35-year-old man complains of a sensation that his left ear is 'full of pressure' and that he hears his eyes move. Audiometry shows a 25 dB…