Question: A 44 year old woman comes to your clinic complaining of chronic dizziness. She endorses an episode of severe vertigo and hearing loss 6 months ago that lasted several days. She feels like she “never completely recovered”. VNG is normal. Upon further questioning, she endorses feeling dizzy in crowds and when walking across floors with complex patterns. She takes fluoxetine for anxiety and depression. What is the most likely diagnosis?

a) Chronic vestibular neuritis

b) Vestibular paroxysmia

c) Persistent postural perceptual dizziness

d) Meniere’s disease

[Answer will be posted with next week's new question]

Answer to last week's question, “Trapped” (March 1, 2021)

C - MRI of the facial skeleton and brain