When Epley Fails: Posterior Canal BPPV Case (Epley vs Bascule)

When Epley Fails: Posterior Canal BPPV Case (Epley vs Bascule) In this detailed clinical case, we examine a 72-year-old patient with positional vertigo and walk through the full diagnostic and treatment process step by step. The video demonstrates how to properly perform the Dix-Hallpike maneuver to identify BPPV (Benign Paroxysmal Positional Vertigo) and observe nystagmus patterns. It also shows multiple treatment approaches including the Epley maneuver and a more advanced Bascule maneuver when standard treatment fails. You’ll learn how to interpret eye movements, identify affected canals, and adjust treatment strategies for refractory BPPV cases. This is a valuable guide for healthcare professionals, students, and anyone interested in vestibular rehabilitation. ⏱️ Time Start 00:02 – Patient Examination & Initial Assessment 00:15 – Right Side Dix-Hallpike Test (No Response) 00:35 – Left Side Dix-Hallpike Test (Nystagmus Appears) 01:09 – Diagnosis: Left Posterior Canal BPPV 01:20 – First Epley Maneuver (Left Side) 02:25 – Control Test (Still Positive) 03:00 – Second Epley Maneuver Attempt 04:21 – Persistent Symptoms After Two Attempts 04:50 – Decision to Use Bascule Maneuver 06:05 – Signs of Otolith Movement (Positive Progress) 07:00 – Repeat Epley Maneuver Plan 08:09 – Improved Nystagmus Pattern Observed 08:50 – Patient Rest & Follow-up Plan 09:33 – New Finding: Right Side BPPV 10:00 – Epley Maneuver on Right Side 11:00 – Right Side Fully Resolved 12:02 – Left Side Rechecked (Resolved) 12:40 – Roll Test for Horizontal Canals 13:15 – Final Summary & Case Conclusion ⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️ ⚡️ Connect with us: 🌐 Website: [https://laryngolog-konin.pl/] 📧 Email: [laryngologkonin@gmail.com] 📸 Instagram:   / zawroty_glowy_w_praktyce   🔵  / otoneurologiapraktyczna   ⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️ ⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️ 🎬 𝐖𝐀𝐓𝐂𝐇 𝐎𝐔𝐑 𝐎𝐓𝐇𝐄𝐑 𝐕𝐈𝐃𝐄𝐎𝐒: ▶️    • Vestibular Migraine Part 1| Understanding ...   ▶️    • Vestibular Migraine Part 2 | Causes, Trigg...   ▶️    • Understanding nystagmus from the left hori...   ▶️    • The structure of membranous labyrinth| Pra...   ⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️ 👉 Don’t forget to subscribe to the channel for more expert medical tutorials and case studies! #BPPV #VertigoTreatment #DixHallpike #EpleyManeuver #VestibularRehab #DizzinessRelief #Nystagmus #PhysicalTherapy #ENT #BalanceDisorder #VestibularTherapy #MedicalEducation #ClinicalCase #VertigoRelief #CanalithRepositioning #HealthcareTraining #Neurology #InnerEar #Physiotherapy #MedicalTutorial