A 35-year-old man has an 8-month history of fluctuating deafness, fullness and buzzing/ringing in both his ears. He also describes episodes of vertigo, where the room is spinning around him and he feels extremely nauseated. Rinne’s test demonstrates that air conduction is better than bone conduction in both ears and Weber’s test does not show lateralisation.
What is the most likely diagnosis?
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- Benign paroxysmal positional vertigo
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- Acoustic neuroma
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- Labyrinthitis
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- Otitis media
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- Meniere’s disease
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