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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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New to vestibular rehab? This nystagmus pattern is a good place to start learning BPPV 👀 BPPV happens when tiny calcium crystals (otoconia) that normally live in the utricle move into a semicircular canal. When the head changes position, those crystals shift, causing abnormal fluid movement and a brief mismatch in signals to the brain, which shows up as vertigo and a very specific eye movement (nystagmus). For classic posterior canal BPPV, we’re looking for a few key features: ⬆️ Upward torsion
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