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Description
A 39-year-old man presented with acute attack vertigo and vomiting and painful restriction of neck mobility. He was suffering from episodic vertigo with no relief from medication. He had experienced similar episodes over the past 7 years. Initially, episodes of vertigo associated with vomiting occurred once per month but later increased in frequency to 2–3 times per week early in the morning. Daily vertigo/vomiting episodes over the previous 2 months had prevented him from going to work. There was no history of drug intake apart from cinnarazine hydrochloride and betahistine hydrochloride, which he stopped as they provided no relief. The vitals, ear, nose and throat examination and neurological examination were within normal limits. All the other causes …
Footnotes
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Contributors RC was the primary clinician under whom the patient was admitted, investigated and treated. RNS was in charge of the case, responsible for editing, formatting and revising the manuscript. TV was the Resident in charge of the case. PR is the fourth year medical student responsible for editing and formatting the images. All the authors had an equal role in writing, editing, formatting and revising the manuscript.
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Competing interests None.
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Patient consent Obtained.
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Provenance and peer review Not commissioned; externally peer reviewed.