A 45 year old man diabetic and smoker complains of dizziness and loss of balance

Question:
A 45 year old man diabetic and smoker complains of dizziness and loss of balance. Oon examination it is noted that he has a mild bilateral Sensorineural Hearing Loss. In the history it is noted that his sister had a demyelinating disease. He is on long term gentamycin and aspirin. A likely diagnosis is
a) Aminoglycoside toxicity
b) Multiple sclerosis
c) Presbycusis
d) Meniere's disease
e) Acoustic neuroma


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