  This is a 77-year-old African-American female with multiple medical problems who presents with episodic positionally related dizziness of unclear etiology.  Most certainly there is significant exaggeration of the underlying problem and her neurological examination is compounded by much functional overlay, limiting the interpretation of my findings.  I suspect this is just a mild benign positional vertigo, although I cannot rule out vertebrobasilar compromise.  I agree with symptomatic treatment with Antivert.