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Recently I saw a 76 yo healthy lady who was referred to us by the otologist. She had consulted because she felt dizzy for the last several months. The otologist had found a mild bilateral hypoacusis, concluded that her problem was 'central' and advised her to seek a neurological opinion. She described her dizziness as a feeling of instability while walking. There weren't any abnormal findings on clinical exam. I tried just to reassure her, but her brother, a retired physician, expressed their worry about the possibility of a posterior fossa tumour. So I agreed to ask for a brain MRI. There were no pathologic findings in the posterior fossa, but the MRI was not normal.
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Revised August 4, 2000
(c) 2000 Medical College of Georgia