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A 2-20 second latent period followed by the onset of torsional (rotary) or horizontal nystagmus. “The Dix-Hallpike test on the left elicited vertigo and torsional nystagmus was detected. The nystagmus typically wanes with recurrent Dix-Hallpike tests. Differentiating different kinds of nystagmus could be clinically challenging. You can perform this exercise in your home. Asking the individual to repair their gaze once you’ve established nystagmus will often lessen their symptoms. If the evaluation is positive, the patient will complain of vertigo and you need to have the ability to directly observe nystagmus. 4. When the individual is on their side, then rotate the patient’s head that they are looking directly towards the ground. When the patient is on their side, then rotate the patient’s head so that they are looking straight towards the ground.
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