A 46-year-old Asian-American woman with a 4-month history of bilateral aural fullness and plugging presented with the sudden onset of room-spinning vertigo and accompanying nausea while walking down the stairs. Her vertigo subsided after she lay down for a few minutes. She had a second episode of vertigo the next morning while walking to the bathroom, with continued bilateral aural fullness. She had no history of similar episodes and did not think that it was positional. She denied hearing loss, previous ear or upper respiratory tract infections, prior ear operations, or recent trauma, but she did report occasional bilateral, nonpulsatile tinnitus. Her medical and surgical histories were remarkable only for headaches without aura and C4-C6 osteophytes without nerve impingement. She had no family history of hearing problems or migraine headaches.
Lee AD, Djalilian H. Radiology Case Quiz 2. Arch Otolaryngol Head Neck Surg. 2007;133(11):1163. doi:10.1001/archotol.133.11.1163