⬇️ 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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⬇️ Do you see the downbeat nystagmus? This was provoked w…
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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
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Have you tried the side lying test to assess for positional vertigo and …
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