The answer is option 4 - Superior canal dehiscence syndrome
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Dr. Rekha Rao
The answer is option 4 - Superior canal dehiscence syndrome.
The answer is option 4 - a rare condition known as superior canal dehiscence syndrome, or SCDS. When doctor tapped her ankle bone with tuning fork, she felt nothing but heard the sound vibrating loudly in her head. Her increased sensitivity to sounds, along with the vertigo, unsteadiness, abnormal eye movements and visual disturbances were all symptoms of the recently identified disorder. In Miller’s case, she had suffered a concussion in 2003 at age 15 when she was thrown from a horse. Doctors operated on Miller in May 2012. She spent about 6 weeks recovering, a period that included dizziness worse than any she’d previously experienced. But the problem receded, then disappeared, as her brain reoriented itself. A few days after surgery, Miller said, she awoke and was thrilled by what she didn’t hear: her heartbeat or her breathing.Her vision and hearing are now normal. She has occasional balance problems when she gets a cold.

Case details are given below -

Rachel Miller vividly remembers the unusually hot spring day in 2007 when her problems began. While working in the garden, she bent over and a sudden wave of nauseating vertigo knocked her to her knees. Too dizzy to walk, she crawled into the house and spent the rest of the day in the air conditioning lying still. By 2009 just getting through a workday had become a major effort. Miller had trouble concentrating, and she worried that she was so wobbly her co-workers might think she was drinking on the job. She was terrified to walk in the dark and had fallen several times because she didn’t know where her feet were. Her eyes felt “weird,” although her vision was 20/20. Normal sounds seemed hugely amplified: at night when she lay in bed, her breathing and heartbeats were deafening. Water pounding on her back in the shower sounded like a roar. She was plagued by dizziness. Her vision was especially bothersome.As she lay in bed, her heartbeat and breathing sounded overly loud but oddly muffled, as though she was listening to both underwater. At the same time, her ability to hear out of her right ear had diminished. In 2010, Miller felt her symptoms were getting worse.

Option 1: paranoid schizophrenia

Option 2: amyotrophic lateral sclerosis

Option 3: A brain tumour

Option 4: Superior canal dehiscence syndrome

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