Vertigo on head rotation

It is rather rare in the ER and more often seen in dedicated vertigo clinics: dizziness on head rotation, usually to one side.

Here is the differential:

  • Vestibular paroxysmia
  • Rotational vertebral artery occlusion (aka bowhunter’s syndrome)
  • Cerebellopontine angle tumours
  • ICA stenosis

Here is a typical case report…

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