A 55 year old headmaster complains of recurrent attacks of a perception of spinning lasting hours to days and associated with hearing loss.


Question Number 0674
Question:
A 55 year old headmaster complains of recurrent attacks of a perception of spinning lasting hours to days and associated with hearing loss. The onset is frequently sudden, reaching peak intensity within minutes and lasting for an hour or more before subsiding. He also complains of a feeling of ear fullness that resolves after episodes of vertigo. These attacks are accompanied by nausea, vomiting, and ataxia. A likely diagnosis is
a) occlusion of the right posterior inferior cerebellar artery
b) occlusion of the left superior cerebellar artery
c) Meniere's disease
d) acute labyrinthitis
e) senile calcific aortic stenosis


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