Maneuver for the diagnosis of Posterior Canal disease

*Ask pt to relax their eye (do not fixate)

Exam Triggers

Untitled

Process

Start with the good side

45 degree head rotation ipsilaterally + 30 degree head extension

Observe for rotation nystagmus

• 10-15 second if normal
• 1 min if abnormal (rotational nystagmus) → move to step 2 of Epley maneuver