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: "⏫ 👁️ Have you seen upbeat nystagmus in return to sit from a Dix-Hallpike test, when there was no nystagmus in the Dix-Hallpike itself? What type of BPPV can demonstrate such a nystagmus? 🧩🤫 In this case, the right (and left) Dix-Hallpike demonstrated no nystagmus or symptoms, yet when sitting up from the right (and left) Dix-Hallpike, brief upbeat nystagmus with concurrent vertigo was observed. 1. 🪣💪Upbeat or upbeat/torsion towards involved ear upon sitting u