Q:

A 25 year old woman complains of dizziness, nausea, vomiting, visual disturbances and anxiety which keep coming from time to time. Most of the attacks are along with sudden change in posture. What is the most likely diagnosis?

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A 25 year old woman complains of dizziness, nausea, vomiting, visual disturbances and anxiety which keep coming from time to time. Most of the attacks are along with sudden change in posture. What is the most likely diagnosis?


  1. Panic disorder
  2. Carotid sinus syncope
  3. BPPV
  4. Vertebrobasilar insufficiency
  5. Postural hypotension

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The key is C. Benign paroxysmal positional vertigo (BPPV). [Dizziness, nausea, vomiting and nystagmus which keep coming from time to time are common features of BPPV].

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