Features include:
- vertigo
- tinnitus
- sesorineural hearing loss
- aural fullness
There may be nystagmus and a positive romberg's test
It is usually unilateral and is believed to be associated with endolymphatic hydrops (=increased fluid in ear)
Rarely it may be associated with drop attacks - no LOC or vertigo, but suddenly falling to one side.
Management:
- prochlorperazine
- inform DVLA and stop driving until controlled.
Next up: that formally very topical topic CJD...
