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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New to vestibular rehab? This nystagmus pattern is a good plac…
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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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🚨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
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