AUTHOR=Ludwig Daniel , Schubert Michael C. 

TITLE=Case Report: Keep your eyes open! Nystagmus guides atypical BPPV

JOURNAL=Frontiers in Rehabilitation Sciences

VOLUME=5

YEAR=2024

URL=https://www.frontiersin.org/journals/rehabilitation-sciences/articles/10.3389/fresc.2024.1384151

DOI=10.3389/fresc.2024.1384151

ISSN=2673-6861

ABSTRACT=<p>The clinical diagnosis of benign paroxysmal positional vertigo (BPPV) is confirmed from observing the direction, intensity, and duration of nystagmus from unique head positions that advantage gravity to overcome the inertia of otoconia displaced inside the semicircular canals. This case series highlights BPPV with atypical nystagmus presentations relative to the head position. Clinicians should carefully observe symptoms and nystagmus presentations regardless of the testing position and utilize technology and rules of vestibular physiology to enhance their diagnostic acumen.</p>