Question: A 42 year old woman is referred to your clinic for episodic vertigo. She notes that over the last 2 years she has had 20 or more episodes of vertigo lasting hours with bilateral aural fullness and headache. She describes her headache as throbbing and associated with photophobia phonophobia. Which of the following statements is true?

a) Medical treatment with diuretics should be instituted

b) MRI should be obtained to rule out bilateral vestibular schwannoma

c) Anti-anxiety and anti-depressant medications should be instituted

d) A trial of topiramate or verapamil may reduce the frequency and severity of episodes

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

Answer to last week's question, “Lip Service” (June 14, 2021)

A - Accidental intravascular injection with embolization of arterial vasculature