Clinical note · The dizzy patient

Dizzy Case of the Day

Read the eyes, make the call, see the reasoning. Free, no sign-up — a new set every day.

Case01/03

A 66-year-old has sudden constant vertigo, with new ringing and reduced hearing in the right ear that started at the same time. The head impulse to the right looks abnormal and the nystagmus is unidirectional — everything else looks peripheral.

Live

HINTS exam + hearing check

Abnormal head impulse to the right
Unidirectional horizontal nystagmus, no skew
New hearing loss and tinnitus, same side, since onset

The eye, magnified. Stylised teaching, exaggerated for visibility — not a recording of a real patient. Make the call below, then see the reasoning.

The call

What is the most likely cause?

Stylised teaching animations authored by NeuroDash. Not a real-patient recording, not board-certified, and not reviewed by an outside specialist. Educational only — not medical advice or a diagnosis.