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

Daniel Ludwig; Michael C. Schubert; Michael C. Schubert

doi:10.3389/fresc.2024.1384151

Frontiers in Rehabilitation Sciences (Mar 2024)

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

Daniel Ludwig,
Michael C. Schubert,
Michael C. Schubert

Affiliations

Daniel Ludwig: Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States
Michael C. Schubert: Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States
Michael C. Schubert: Laboratory of Vestibular NeuroAdaptation, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, United States

DOI: https://doi.org/10.3389/fresc.2024.1384151
Journal volume & issue: Vol. 5

Abstract

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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.

Published in Frontiers in Rehabilitation Sciences

ISSN: 2673-6861 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Other systems of medicine; Medicine: Medicine (General): Medical technology
Website: https://www.frontiersin.org/journals/rehabilitation-sciences#

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