Patient with vertigo, dizziness and depression

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A 54-year-old woman presented with dizziness and vertigo as an outpatient at the Ear-Nose-Throat (ENT) Clinic. The patient claimed transient numbness in both hands and exhibited mild depression. Clinical examination was unremarkable. Imaging workup included a temporal bone and brain magnetic resonance imaging (MRI). Temporal bone imaging did not disclose any abnormality. Axial FLAIR ( Fig. 1a-c ), sagittal FLAIR ( Fig. 1d ), coronal T2-W ( Fig. 1e ) and axial susceptibility weighted imaging (SWI) ( Fig. 1f ) MRI sequences are shown.