AI Insight
A 35-year-old woman presented with a one-year history of recurrent brief episodes of non-positional vertigo lasting approximately 15 minutes each, described as a spinning sensation. The episodes occurred without accompanying symptoms such as headache, tinnitus, hearing loss, or visual disturbances. Standard neurological, vestibular, and audiometric examinations were normal between episodes, and blood pressure measurements showed no abnormalities.
Why it matters
This clinical case highlights the diagnostic challenge of recurrent vertigo with normal examination findings between episodes, particularly when accompanied by multifocal brain lesions and dermatological manifestations. The presentation suggests a systemic condition requiring comprehensive evaluation beyond standard vestibular testing, emphasizing the importance of recognizing cutaneous clues in neurological disorders.
Understand the Science
A woman aged 35 years was evaluated for a 1-year history of recurrent, brief (approximately 15 min) episodes of non-positional vertigo described as a spinning sensation. Episodes were not accompanied by headache, tinnitus, hearing loss, visual symptoms, or other neurological complaints. Blood pressure was normal, and there was no orthostatic hypotension or tachycardia upon standing. Neurological and vestibular examinations, including audiometry and the Dix–Hallpike manoeuvre, were normal between episodes.
Source: [Clinical Rounds] Vertigo, multifocal brain lesions, and a diagnostic clue on the skin