Image IQ: 52 y/o with Vertigo, Headache, Tinnitus

Poll

52-year-old female with vertigo, headache, tinnitus, eye twitching, and general instability while walking.

52-year-old female with vertigo, headache, tinnitus, eye twitching, and general instability while walking. Unsuccessfully treated with Epley maneuver, benzodiazepine medications.

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What's your diagnosis?

Chiari I malformation
Idiopathic intracranial hypertension (IIH)
Idiopathic empty sella turcica
Idiopathic/post-inflammatory optic nerve atrophy

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