Answer and Explanation 11

11.  Choice C is the correct answer.  This patient is presenting with a history concerning for cerebellar infarct.  Patients with central vertigo typically do not have nystagmus or any visual affect.  They can have some truncal ataxia.  Patients that have peripheral types of vertigo typically do not have ataxia.  Patients with  labyrinthitis typically have severe vertigo accompanied with a viral infection.  They may also have some tinnitus.  They will respond typically to antivert, ativan or valium.  Patients with vestibular neuritis have recurrent attacks of peripheral vertigo without hearing problems.  Meniere's disease is a chronic condition of vertigo spells accompanied by progressive unilateral hearing problems and tinnitus.