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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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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