Latency of <20, rotary upward nystagmus, duration <60
Posterior canal bppv canalithisis
Latency >20<60
Upward rotary nystagmus
Duration >90
Posterior canal bppv cupulathisis
3 history categories
Tempo (sx frequency, duration)
Sx characteristics (sx intensity, quality)
Circumstances (sx onset, quality)
Tempo we are look at
Acute, chronic, spells
Progression ( sudden vs gradual, provoked or spontaneous)
Other mitigating factors ( prior uRI or GI bug, trauma)
List the acute vestibular
Vestibular neuritis ( 48-72h) Labyrinthitis < 24h Vestibular migraine (20<24h)
What areas are examined (structures)
C-spine assessment Neuro screen CN testing Visual testing Vestibular testing Balance testing Positional testing Formal tests and measures
What vestibular conditions have hearing impact
Labyrinthitis Vestibular schwanoma Superior canal dehiscence Periymphatic fistula Ménière’s disease