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Head Shaking Nystagmus
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Head Shaking Nystagmus
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0:18
YouTube
Vestibular First
Head shake nystagmus test with fast beat left in right vestibular neuritis #vestibularrehab
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Sonia Vovan | Concussion + Vestibular Physiotherapist on Instagram: "🥽 Using infrared video goggles, we can see the results of her head-shaking test showing LEFT-BEATING NYSTAGMUS after the head shaking stopped. ↔️ How to conduct the Head Shaking Test: 1. Patient sits upright wearing infrared video goggles to eliminate visual fixation 2. Clinician tilts patient’s head ~30 degrees downward 3. Clinician passively oscillates head horizontally (side to side) for 20-30 cycles at 1-2 Hz frequency 4.
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Instagram
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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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