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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

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