😠 💎 Stubborn posterior cupuloithiasis BPPV that doesn’t clear with the Semont Liberatory maneuver? You could try the seated head-shaking maneuver! 📝 STEP-BY-STEP PROTOCOL: Position head in 30-degree forward flexion Perform horizontal head oscillation at 3 Hz frequency Continue for 15-second duration Return to neutral position 🔎 Evaluate for resolution of positional vertigo and nystagmus 10-30 minutes post-maneuver. ✌🏼 Second application may be performed if symptoms persist. ⏱️ Follow-up ass
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