A 62-year-old female patient (Table 1, Patient 28) presented to our office on 6 June 2019 with a history of dizziness. She reported being struck in the head by a football in September 2017. There was no history of loss of consciousness, but she was seen in the emergency room and was diagnosed with concussion. Soon after the event, she began developing progressively increasing dizziness. She described a sensation of being pushed and had a feeling that she would fall when exposed to something as trivial as a wind gust. During all waking hours she described a feeling of being in a "funhouse," and was extremely unstable on her feet. She was unable to go for rides on her motorcycle because the low-pitched exhaust sounds bothered her. Rolling over in bed occasionally made her dizzy. Dizziness was most pronounced on exposure to loud sounds, and changes in altitude such as riding in an elevator were especially bothersome. While walking she needed to hold on to the wall or her spouse for support. Her symptoms were most pronounced when bending down. She reported an inability to prevent a fall when bending to pick up an object from the floor. Multiple sessions under the care of a physical therapist did not relieve her symptoms. Ear, nose and throat examination was normal, however the patient reported extreme nausea on left-sided pneumatic otoscopy, and a questionable left beating short-lived nystagmus was observed. Bedside vestibular testing and VNG were found to be normal on 9 August 2019. The Hennebert test was equivocal, but with the Tullio test the patient demonstrated pulsion to the right. cVEMP was normal on the right but was abnormal on the left side with increased amplitude and decreased threshold down to 65 dB nHL (Figures 2C1,C2). The gray-scale inversion technique on high resolution temporal bone CT scan raised the possibility of a left membranous stapes footplate. The patient consented to surgery and on 5 December 2019 underwent fat graft placement over the oval and round windows (Figures 2A,B). While her ear felt plugged following surgery her symptoms of disequilibrium resolved almost immediately. On 14 January 2020 pulsion was not elicited on Tullio testing. Auditory thresholds recovered completely to preoperative levels, and post-operative cVEMP testing demonstrated normal amplitude and threshold on the left side (Figure 2D). The patient's and her husband's impressions can be seen and heard in Videos 4, 5. The patient reports that she is almost completely back to normal.