Recycling for a Reason: Epley Manuever Observations

I am recycling a portion of a post I did a couple of years ago. This post discusses a particular observation that occurs periodically when performing canalith repositioning, namely a short burst of downbeat vertical nystagmus when bringing the patient back up to the seating position (position #4). We are revisiting this because I saw…

Read More

Positional Vertigo That Isn’t So Benign

Has the Pendulum Swung Too Far? Back in 2013, I did a several part series on BPPV (Benign Paroxysmal Positional Vertigo). My concern was that BPPV was being overlooked, under diagnosed, and not treated often enough in the general medical community. The vast majority of patients complaining of positional vertigo never got a positional test. A…

Read More