🚨Nystagmus doesn’t suppress with fixation? It’s likely due to brain pathology! (A long case, but stay with me) This patient experienced a sudden onset of dizziness and hearing loss and was diagnosed with labyrinthitis. Imaging was normal, and he was referred to ENT for hearing loss care and vestibular therapy for eval and treat of vertigo and imbalance. Vestibular PT evaluation revealed central findings: ‼️ Direction-changing nystagmus with gaze ‼️ Vertical skew deviation ‼️ Unilateral pupillar