A Very Modified Dix-Hallpike

  BPPV (Benign Paroxysmal Positional Vertigo) is the most common cause of vertigo and dizziness complaints. It is generally easily treated once identified, as long as it happens to affect the posterior canal. In fact, it seems that many people are self diagnosing and going to the internet for home treatment instructions. Many physicians are…

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Downbeat Nystagmus on Rising: Part II

We continue with the case of the mysterious downbeat positional nystagmus. The patient returned after the weekend, reporting little change in his symptoms, which included brief vertigo with rolling over in bed, and ongoing unsteadiness on his feet for the past three months. At that point, I abandoned my suspicion of the otoconia having settled…

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