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PLAB03-029

Mr Trank is a 55 year old male who has been having dizzy spells for approximately two weeks. He denies any hearing loss, tinnitus or problems with balance/co-ordination. Apart from a mild upper respiratory tract infection a month ago, he is normally fit and well and has no regular medication.

Examination reveals fine horizonal nystagmus, but otoscopy examination and systems examination are otherwise unremarkable. A clinical diagnosis of Vestibular Neuronitis is made.

What is the most suitable initial treatment?

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