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You performed an Apleys manoeuvre on a patient. On repeating the Dix-Hallpike manoeuvre, she displays a burst of horizontal nystagmus, what should you do?

April 26, 2017Burst displays horizontal manoeuvre nystagmus patient Performed repeating

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You performed an Apleys manoeuvre on a patient. On repeating the Dix-Hallpike manoeuvre, she displays a burst of horizontal nystagmus, what should you do?

1 Answer

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The particles have become displaced into the horizontal/lateral canal. Raise the patient to the upright-seated position facing you and immediately perform liberatory manoeuvre for horizontal benign paroxysmal positional vertigo. Have a basin ready for this disorder can cause abrupt vomiting.