Question

A 55-year-old man presents with acute onset continuous vertigo, nausea, and vomiting for 24 hours. He has no hearing loss. Examination reveals unidirectional horizontal nystagmus that is suppressed by visual fixation. Head Impulse Test is positive. What is the most likely diagnosis?

Accepted Answer

Vestibular neuronitis

Answer

Benign Paroxysmal Positional Vertigo (BPPV)

Answer

Ménière's disease

Answer

Vestibular migraine

Answer

Posterior circulation stroke

Practice question

A 55-year-old man presents with acute onset continuous vertigo, nausea, and vomiting for 24 hours. He has no hearing loss. Examination reveals unidirectional horizontal nystagmus that is suppressed by visual fixation. Head Impulse Test is positive. What is the most likely diagnosis?