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0:18
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Vestibular First
😳 Do you use the (horizontal) head shake test, also known as head shaking nystagmus? 🧰 How to perform: 1. Patient is seated. 2. With the head tilted 30° forward, the clinician
Vestibular First. hypaton · Original audio. 😳 Do you use the (horizontal) head shake test, also known as head shaking nystagmus? 🧰 How to perform: 1. Patient is seated. 2. With the head tilted 30° forward, the clinician oscillates the patient’s head side-to-side (2 Hz speed) for about 20 seconds while fixation is removed by infrared ...
231.1K views
2 months ago
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👀 Subtle spontaneous nystagmus? The head-shaking test is an essential clinical tool. This patient presented with mild vestibular symptoms, and spontaneous nystagmus was barely visible on initial inspection. After performing the head-shaking test (20 cycles at approximately 2 Hz), we were able to accentuate the underlying nystagmus, making it significantly easier to identify the pattern and laterality. 🔍 Why does this work? Head shaking fatigues the velocity storage mechanism and unmasks asymme
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