Question

70 y/o w/ attacks of "whirling sensations" w/n/v, diplopia, dysarthria, tingling of lips. Occurs several times daily for 1 minute, severe that pt collapses and is immobilized when symptoms start. No residual s/s, no tinnitus, hearing impairment, ALOC or association with any particular activity. Dx?

Answer 1

The patient may be experiencing vertebrobasilar insufficiency (VBI) based on the described symptoms.

Step-by-step explanation:

The symptoms described, including "whirling sensations," diplopia, dysarthria, and tingling of the lips, are consistent with a condition called vertebrobasilar insufficiency (VBI). VBI occurs when there is a temporary decrease in blood flow to the brainstem and cerebellum, leading to transient neurological symptoms. The symptoms described in the question, such as collapsing and immobilization, suggest that the VBI episodes are severe and debilitating.