A 45-year-old woman presents to her general practitioner with a complaint of intermittent dizziness over the past two weeks. She describes the dizziness as a sensation of the room spinning that is particularly pronounced when she turns her head to the right or when she lies down and gets up from bed. The episodes are brief, usually lasting less than a minute, but they are unsettling and have caused her to feel nauseous on several occasions.

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