👁️ 🔃 Can you see the torsion? This patient demonstrated ~5 seconds of LEFT torsional nystagmus in the left Dix-Hallpike test. 🌀 Is it due to posterior canal BPPV? In this case, yes! How do we know? After a repositioning maneuver (left modified Epley), and 10 minutes rest, a re-test of the left Dix-Hallpike showed no nystagmus and resolved positional vertigo symptoms. 👁️ "BPPV nystagmus is primarily torsional when the gaze is directed ipsilateral toward the side of lesion whereas the nystagmu
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