BK is a 43-year-old female referred for audiological examination by her primary care physician. She reports severe autophony, hyperacusis, and pulsatile tinnitus in her left ear, which have become more severe over the last 12 to 18 months. She reports she is experiencing brief episodes of intense “true” spinning vertigo that began several years ago and have occurred more frequently over the last year. When asked about what triggers her vertiginous episodes, BK reports that loud sounds, and at times her voice, trigger her vertigo. She has also become very vertiginous while straining, such as when lifting heavy items or having a bowel movement. As a final note, BK states she recently noticed she can “hear” her eyes move in her head.