Demi-Semont Maneuver
Demi-Semont Maneuver
6 months ago
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🚨Nystagmus doesn’t suppress with fixation? It’s likely due to brain pathology! (A long case, but stay with me) This patient experienced a sudden onset of dizziness and hearing loss and was diagnosed with labyrinthitis. Imaging was normal, and he was referred to ENT for hearing loss care and vestibular therapy for eval and treat of vertigo and imbalance. Vestibular PT evaluation revealed central findings: ‼️ Direction-changing nystagmus with gaze ‼️ Vertical skew deviation ‼️ Unilateral pupillar
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🚨Nystagmus doesn’t suppress with fixation? It’s likely due to brain pat…
10.9K viewsMay 1, 2025
FacebookVestibular First
👁️ 🔃 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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👁️ 🔃 Can you see the torsion? This patient demonstrated ~5 seconds …
21.2K views5 months ago
FacebookVestibular First
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