A 48-year-old man presents with recurrent episodes of vertigo lasting 4-6 hours accompanied by left-sided tinnitus and progressive sensorineural hearing loss. Vital signs show BP 138/82, HR 94, RR 16, temp 37.2°C, SpO₂ 98%. During attacks, he exhibits horizontal-torsional nystagmus that improves with visual fixation. Audiometry confirms low-frequency sensorineural hearing loss on the left. Neurologic examination reveals no cranial nerve deficits otherwise. Recent brain MRI shows no acute findings. Which of the following is the most likely diagnosis?
- A)Benign paroxysmal positional vertigo
- B)Central vertigo from cerebellar stroke
- C)Meniere diseaseGABARITO
- D)Acoustic trauma
- E)Vestibular schwannoma
Explicação
Meniere disease is the correct answer because endolymphatic hydrops causes episodic vertigo, tinnitus, and sensorineural hearing loss, with a peripheral pattern of nystagmus that is suppressible with visual fixation. Ver explicação completa e trilha adaptativa →