Snapshot A 26-year-old woman presents to her primary care physician for severe dizziness spells. Her dizziness is described as the room is spinning, and it typically lasts a few minutes. Her symptoms are associated with nausea and "ear ringing." At times she feels like her left ear has decreased hearing. She denies any lightheadedness or palpitations. Physical examination is unremarkable. She is referred for audiometry testing and was urged to decrease her salt and caffeine intake. She is prescribed meclizine for symptomatic improvement. Introduction Overview login to view 1 more bullet Epidemiology Demographics login to view 1 more bullet Location login to view 1 more bullet Risk factors login to view 1 more bullet ETIOLOGY Pathophysiology login to view 1 more bullet Presentation Symptoms login to view 6 more bullets Physical exam login to view 1 more bullet Studies Audiometry login to view 6 more bullets Vestibular testing login to view 7 more bullets Differential Vestibular schwannoma login to view 3 more bullets Migraine-associated vertigo login to view 2 more bullets Treatment Conservative and lifestyle login to view 5 more bullets Medical and pharmacologic login to view 14 more bullets Complications Falls leading to head injury Sensorineural hearing loss Prognosis Most patients have gradual hearing loss