This week's free board review question...
A 48-year-old woman presents to you complaining of persistent vertigo, nausea, vomiting, and nystagmus for the past 10 days but she has not noticed any hearing loss. Examination of her ear shows no pathology, and her Rinne and Weber hearing test results are normal. Neurologic examination reveals horizontal nystagmus that persists despite gaze fixation.
What is her most likely diagnosis?
otitis media with effusion
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