Question

A 65-year-old woman presents with sudden onset, continuous vertigo, nausea, and vomiting lasting 24 hours. She has unidirectional nystagmus and gait instability, but no hearing loss or other neurological signs. What is the most likely diagnosis?

Accepted Answer

Vestibular neuritis

Answer

Benign Paroxysmal Positional Vertigo (BPPV)

Answer

Ménière's disease

Answer

Acoustic neuroma

Answer

Posterior circulation stroke

Practice question

A 65-year-old woman presents with sudden onset, continuous vertigo, nausea, and vomiting lasting 24 hours. She has unidirectional nystagmus and gait instability, but no hearing loss or other neurological signs. What is the most likely diagnosis?