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A 2-20 second latent period followed from the onset of torsional (rotary) or horizontal nystagmus. “The Dix-Hallpike evaluation on the left elicited vertigo and torsional nystagmus has been detected. The nystagmus typically doubles with repeated Dix-Hallpike evaluations. Differentiating several kinds of nystagmus can be clinically challenging. You can perform this exercise at home. The home Epley maneuver is a form of exercise help that helps to care for the symptoms of benign paroxysmal positional vertigo (BPPV). Asking the patient to fix their gaze when you’ve recognized nystagmus will often lower their symptoms. 4. When the individual is on their side, then rotate the individual ‘s head that they are looking directly towards the floor. When the patient is on their side, then rotate the individual ‘s head that they are looking directly towards the floor.
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