Downbeat Nystagmus on Rising: Part I

Last week we reviewed a post discussing the occasional finding of downbeat vertical nystagmus when bringing the patient back up to the seated position after performing canalith repositioning (AKA the Epley maneuver) for posterior canal BPPV. Well, last week, I saw a  particularly unusual presentation of that particular unusual presentation. I had a referral from a…

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Neuropathy and Balance

Balance is not one thing, it is several things. Balance involves several parts of the body generating and responding efficiently to movement. There are two primary pathways involved. The first is described in scientific terms as the afferent pathway. This pathway includes sensory information that is gathered by the eyes, the inner ears and the…

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