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A 48-year-old man complains of recurrent episodes of sudden-onset dizziness. He notices an abrupt onset of a "spinning" sensation when sitting up or lying down in bed. The symptoms last for 30 seconds and then resolve completely. He has no hearing change or other neurologic symptoms, and his physical examination is completely normal. A Dix-Hallpike maneuver reproduces his symptoms. Which of the following is the most likely mechanism for his vertigo symptoms?
basilar migraine
brain stem ischemic events
benign cerebellar tumors
calcium debris (calcium carbonate crystals) in the semicircular canals
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