Question

A 59-year-old man presents with sudden-onset vertigo, vomiting and unsteady gait. Examination shows horizontal nystagmus but no limb weakness. The head impulse test is positive. What is the most likely diagnosis?

Accepted Answer

Vestibular neuritis

Answer

Cerebellar stroke

Answer

Benign paroxysmal positional vertigo

Answer

Migraine

Answer

Vestibular schwannoma

Practice question

A 59-year-old man presents with sudden-onset vertigo, vomiting and unsteady gait. Examination shows horizontal nystagmus but no limb weakness. The head impulse test is positive. What is the most likely diagnosis?