ukmla MCQ (SBA): Vestibular Neuronitis

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A 70-year-old woman presents with sudden onset vertigo, vomiting, and imbalance. She had a recent viral illness. On examination, she has spontaneous horizontal nystagmus (fast phase away from the affected side), which suppresses with visual fixation. Head impulse test is positive (abnormal). She is unable to walk unsupported. Hearing is normal. What is the most likely diagnosis?

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