A Classic Case of Vestibular Neuritis
DT is a 40-year-old male who scheduled an appointment with otolaryngology citing a 5-year history of persistent dizziness and postural instability that began after a single, severe attack of vertigo. The patient described the vertiginous attack as a severe spinning sensation of unspecified direction, which lasted all day and was accompanied by nausea and vomiting. DT stated that he did not lose consciousness. Two weeks after this episode, he experienced significant postural instability. Initially he was evaluated by a physician in his hometown and underwent physical therapy, but the patient reported only minimal improvement in his symptoms. For the 5 years since the vertiginous attack, he had a constant sensation of dizziness and imbalance. In addition, he reported motion-induced visual blurring with rightward head turns, a sensation of fullness on the right side of his head, significant difficulty driving at night, and difficulty in busy visual environments such as a crowded supermarket. He denied tinnitus, aural fullness, and did not experience any changes in his hearing.