😠 💎 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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😠 💎 Stubborn posterior cupuloithiasis BPPV that doesn’t clear with the S…
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New BPPV maneuver! Have you tried the Bascule Maneuver for stubborn posterior canal cupulolithiasis or atypical short arm posterior canalithiasis? In addition to moving briskly between positions, vibration is applied on the mastoid of the affected side for at least one rep in the positions when the patient is side lying, both when the nose is down and again when the nose is up. Consider pre-medicating with an anti-emetic if nausea is of concern. This video demonstrates treatment for the left pos
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