Brain MRI demonstrated acute right cerebellar and left middle cerebellar peduncle infarcts in the distribution of the right posterior inferior cerebellar artery and the left anterior inferior cerebellar artery, respectively (Fig. The patient had a positive head impulse test with left head turning implying hypofunction of the left horizontal (lateral) semicircular canal caused by ischaemia of the labyrinth, leading to combined audiovestibular dysfunction. Dear Sirs, An 88-year-old male developed sudden-onset bilateral hearing loss, unsteadiness and vertigo. [Extracted from the article]