Clinicians who frequently evaluate dizzy patients know that benign paroxysmal positional vertigo (BPPV) can usually be diagnosed by telephone and treated by video chat. The history is often clear, so the main questions is, "Where are the ‘rocks’?" The answer is traditionally gleaned from the physical examination. The vector/direction of provoked nystagmus identifies the location of offending otolithic debris, which defines the correct repositioning maneuver.
from Neurology recent issues https://ift.tt/38rL5cX
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