😳 Do you use the (horizontal) head shake test, also known as head shaking nystagmus? 🧰 How to perform: 1. Patient is seated. 2. With the head tilted 30° forward, the clinician oscillates the patient’s head side-to-side (2 Hz speed) for about 20 seconds while fixation is removed by infrared video goggles. 3. Stop moving the head and ensure that the patient’s eyes are open to observe any nystagmus. ✅ A normal finding is 3 beats of horizontal nystagmus or less (often no nystagmus is present). ❌ A
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Vestibular First on Instagram: "Seeing right-beating nystagmus after head shake? Here’s what it tells us! The head shake test is a valuable bedside screening tool to detect subtle vestibular asymmetries that may not be apparent during a basic oculomotor exam. In a normally functioning vestibular system, symmetric input from both sides cancels out any nystagmus. However, when one vestibular system is not working as well as the other, the asymmetry in neural firing leads to a temporary imbalance,
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