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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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
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Atypical BPPV vs. central positional nystagmus? | Vestibular First | 14 comments
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😠 🛑 Difficult BPPV (presenting either with torsional upbeat nystagmus toward affected side or downbeat nystagmus in the Dix-Hallpike test) that won’t change with a modified Epley or classic Semont/Liberatory maneuver? Consider the Demi-Semont maneuver! 💎 💪 The Demi-Semont has been proposed as an option to treat atypical short-arm posterior canal BPPV. In short-arm posterior canalithiasis, the Demi-Semont may clear the BPPV altogether, or it may reposition debris into the long arm of the cana
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