Neurology
Case 8: A Patient Suffering from Dizziness
CASE
A 54‐year‐old man with a history of poorly controlled diabetes and hypertension goes to his GP complaining that he awoke that morning with severe dizziness. He has vomited several times and is only comfortable if he keeps his head completely still. There are few physical signs except nystagmus on looking to either side. The GP diagnoses ‘acute viral labyrinthitis’. Two days later the patient complains of double vision and slurred speech and is sent to hospital for investigation. While waiting to be admitted by the acute medical team the patient suddenly collapses, lapses into a coma and displays an irregular breathing pattern with periods of apnoea. He is intubated and ventilated. Examination without sedation or muscle relaxants shows a complete flaccid tetraparesis.
QUESTION 1
Your score this session: 0 of 0
Where is the lesion?