hey thanks for joining us my friend Laurie here has a problem called benign
positional vertigo or benign paroxysmal positional vertigo it's called either
one we'll go through the words benign meaning it's not bad it's not dangerous
positional meaning it's triggered by position of your head paroxysm meaning
it comes and goes vertigo being the artificial or illusion
of movement and so the eyes will be doing something like this it feels like
things are moving and look like things are moving to the patient even though
they're actually not that's why I say the illusion of movements in it so this
has been going on intermittently to you for like left three weeks or so right
five for five weeks and it'll hit at different times of day and for you you
don't have that classic connection with some kind of a head movement triggering
it right and so that was why it was a little hard for us to diagnose it
usually a person will have a definite trigger of oh yeah I turned over in bed
alright I got up and looked the other way but you did say when you looked a
certain direction in bed rolling in bed yeah to the right that would do it but
here when it happened was when you turn to the left so let's show what that
looked like when you turn your head to the left we laid you down during the six
help Aikman work okay okay let's go ready wrong okay oh there we go okay so
we're looking at your eyes and we're seeing that they're having that
nystagmus movement is it gone already no I mean have you turn your head toward me
now is it gone mm-hm
okay hold that position for 30 seconds okay so now that you've been there for
30 seconds turn keeping your head where it is turn your body toward me okay
without falling off all right now now go ahead and let your
nose touch the yeah like that we're gonna hold that position for about 30
seconds oh boy is it starting oh it's your eyes
triggered it again so we're going to hold you here till that stops and the
did already stop yeah yeah her eyes we're doing it again mm-hmm you're okay
now yep not feeling that sensation at all
okay and then the next part of this is to have you sit upright with your knees
with your legs over the side here toward me you see how it kind of helps to have
somebody that's see it is fun to go the doctors off yeah okay so now are you
stable and everything's back to normal well they seem to be kind of going back
that's what I'm doing yeah all right so this is the Epley maneuver and I do want
you to do this at least three times a day and can continue doing it until
you're not having the symptoms at all now you can you can sometimes have it a
little episode here they're generally they say when you go 24 hours without
having one you've done it enough and then we would follow up if that's not
already happened in the next week or two because we do still have to be
considering that there can be other things going on but it's very unlikely
given that we had such a classic nystagmus with turning to head that one
now can I let go of you and you're okay let's have you get down a little bit
here and see what you're like on your feet yeah you are a little bit yeah okay
yeah okay you're alright yeah okay so position
changes are still very sensitive to let me have you just sit back up there
for a moment get you on your feet but that felt better than the first one
didn't it already that quickly yeah and that sometimes people have a
response that quickly that'll start getting better
just with doing this a couple times and you can repeat it and that's the aptly
maneuver so we're going to have Lori do that at home and check in on her in a
couple weeks and make sure that the symptoms have gone away if not we're
going to follow up possibly with some imaging of the brain possibly in the
gene of the circulation of the brain possibly referral to ent depending on
what the symptoms are between now and when we see our back hopefully she'll be
all gone thank you learning so much for doing
this and thank you for joining us if you're not already subscribed please do
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Lindsey Antoine and Petra Rosenberg until next time Lauri myself dr. Marc
Vaughn telling you to stay in good health