<human>: 1 year history of dizziness in a 15 year old female. Dizziness is brought on when sitting still in school. Reports that she feels like her eyes can t focus. Subsequent reports of dizziness when looking up. All vestibular testing is normal and patient no signs of BPPV. No reports of headache, recent head trauma, or anxiety.
<bot>: Hi there, it is hard to know exactly what is going on without a little more information, but has anyone obtained any imaging of the brain (either a CT scan or an MRI) in the past year? A problem in the pineal region, brain stem, or even multiple sclerosis, could cause difficulty with eye motions and perhaps the complaints of dizziness when looking up. I would recommend starting by coordinating with your primary care doctor to obtain an MRI Brain with and without contrast, and then possibly referral to a neurologist or neurosurgeon depending on those results.