17 results
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... beating to left ear ... #Nystagmus #BPPV ... clinical #video #physicalexam ... ophthalmology #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... Dix Hallpike Maneuver ... #Nystagmus #BPPV ... clinical #video #physicalexam ... ophthalmology #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #Vertigo #diagnosis ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... may be present Central ... auditory findings BPPV ... #differential #diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
and torsional nystagmus ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis ... #neurology #comparison
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... is rotational nystagmus ... toward the affected ear ... #neurology #vertigo ... #bppv #management
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... for BPPV Procedure ... #DixHallpike #Maneuver ... #BPPV #Instructions ... #Diagnosis #neurology
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... affected right ear ... popular in Europe ... #vertigo #neurology ... clinical #video #physicalexam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... affected right ear ... popular in Europe ... #vertigo #neurology ... clinical #video #physicalexam