27th August 2020

A 65-year-old lady presents to her GP following almost daily episodes of vertigo accompanied by nausea

A 65-year-old lady presents to her GP following almost daily episodes of vertigo accompanied by nausea in the last month. She describes being unable to move her head as certain positions (looking up and bending) worsen the symptoms. The episodes can last up to 1 minute. On examination, the Dix-Hallpike manoeuvre induces vertigo and nystagmus. Otology and neurological examination are unremarkable. What is the most appropriate diagnosis?

For the patient above, please select the most appropriate diagnosis. Select ONE option from the list above.