Positional nystagmus – is it BPPV? When it comes to assessing nystagmus during the Dix Hallpike maneuver, knowing how to interpret those patterns is key! Here’s your quick guide to confirming posterior canal BPPV: 🔎DIRECTION: Look for upward torsion toward the affected ear. ⏳ LATENCY: Notice the short delay before nystagmus kicks in. ⏰ TIME PATTERN: Watch for a brief burst following a crescendo-decrescendo rhythm. Check out how swiftly this nystagmus appeared and disappeared! This highlights th
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Positional nystagmus – is it BPPV? When it comes to assessing nystagmus during the Dix Hallpike maneuver, knowing how to interpret those patterns is key! Here’s your quick guide to confirming posterior canal BPPV: 🔎DIRECTION: Look for upward torsion toward the affected ear. ⏳ LATENCY: Notice the short delay before nystagmus kicks in. ⏰ TIME PATTERN: Watch for a brief burst following a crescendo-decrescendo rhythm. Check out how swiftly this nystagmus appeared and disappeared! This highlights th
819.5K viewsJan 30, 2025
FacebookVestibular First
Have you tried the side lying test to assess for positional vertigo and nystagmus? 👉Here we are testing the left side (left ear down), with the person’s head turned at least 45 degrees towards the right before coming into left side lying. 👀We see left torsional upbeating nystagmus lasting less than one minute, which is consistent with a likely left posterior canalithiasis type BPPV, where otoconia are floating in the left posterior canalithiasis type. 🥇 One convenient and specific option for
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Have you tried the side lying test to assess for positional vertigo and nystagmus? 👉Here we are testing the left side (left ear down), with the person’s head turned at least 45 degrees towards the right before coming into left side lying. 👀We see left torsional upbeating nystagmus lasting less than one minute, which is consistent with a likely left posterior canalithiasis type BPPV, where otoconia are floating in the left posterior canalithiasis type. 🥇 One convenient and specific option for
578K viewsJun 19, 2025
FacebookVestibular First
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⬇️ Do you see the downbeat nystagmus? This was provoked with the straight head hang test (and I'd seen similar but more mild persistent downbeat in the left Dix-Hallpike test in the same patient). ⏰ Symptoms: mild off-feeling. Duration of nystagmus: persistent. It could be atypical BPPV or a central positional nystagmus (brain issue)! 🙃 I trialed a modified Yacovino, 10 minutes rest, then re-test of the straight head hang showed no nystagmus and no symptoms. 👂 Likely diagnosis: (left?) short a
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