This patient is evaluated as per the courtesy of Dr. Fernandez-Llanio; for the last few weeks this patient has been experiencing a vertiginous sensation with turning of the head. The symptoms started abruptly and without an obvious precipitant factor. The vertigo is associated with nausea. There was some gait difficulty as a result of the symptoms. There is no double vision, perioral numbness, generalized weakness, lateralized weakness or constitutional symptoms. There is no ear discharge, no ear pain. No decreased hearing. Questionable tinnitus. The patient's symptoms are reported as severe, and there is improvement when the patient avoids movement. There is no history of trauma, and no neck pain. This patient has a well documented
