16th September 2020

A 43-year-old lady presents to the GP with 8 months of unilateral episodic tinnitus

A 43-year-old lady presents to the GP with 8 months of unilateral episodic tinnitus, hearing loss and vertigo unaffected by head positions. She also experienced increasing aural fullness in the right ear before every attack. She described no flu-like symptoms or viral infections within the previous 6 months. No known past medical history and family history. Physical examination revealed right-sided hearing loss and right-sided nystagmus. What is the most appropriate diagnosis at this stage?

Select the SINGLE most appropriate answer?