Your patient is a 24-year-old male who is alert and oriented, complaining of severe "dizziness" and an earache for two days. He states that any movement of his head causes him to become very dizzy and nauseated. The patient's skin is warm and dry, his pupils are equal and reactive, and there is no gross neurological deficit. HR = 82, BP = 120/82, RR = 12, SaO2 = 99%. Which of the following is

most likely?

A) Subdural hematoma
B) Transient cerebral attack
C) Hypersensitivity of the carotid sinus
D) Labyrinthitis

D