Vestibular First on Instagram: "Do you use the loaded Dix-Hallpike (D-H) test by Dr. Jeff Walter's team (Andera et al., 2020)? It increases sensitivity of the traditional D-H by 13.1%! The loaded D-H helped me catch a subtle left posterior canalithiasis BPPV case that I didn't see with traditional testing even in infrared video goggles (video clipped for brevity - the patient did hold the seated position with neck rotation and flexion for 30 seconds as recommended). Want to learn more about vest

Vestibular First on Instagram: "⬇️ Do you see the downbeat nystagmus? This was provoked with the straight head hang test (and I'd seen similar but more mild persistent downbeat in the left Dix-Hallpike test in the same patient). ⏰ Symptoms: mild off-feeling. Duration of nystagmus: persistent. It could be atypical BPPV or a central positional nystagmus (brain issue)! 🙃 I trialed a modified Yacovino, 10 minutes rest, then re-test of the straight head hang showed no nystagmus and no symptoms. 👂 L