⬇️ 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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Atypical BPPV vs. central positional nystagmus? | Vestibular First | 14 comments
Atypical BPPV vs. central positional nystagmus? | Vestibular First | 14 …
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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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New BPPV maneuver! Have you tried the Bascule Maneuver for stu…
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