Brown Syndrome 👁️ Brown syndrome is a rare ocular motility disorder characterized by limited elevation of the eye in adduction. The affected eye struggles to move upward when looking toward the nose, while elevation in abduction is usually normal. 🔍 What’s happening? The problem lies in the superior oblique tendon–trochlea complex. Restricted movement or abnormal tendon elasticity prevents smooth passage through the trochlea, mechanically limiting elevation. 🧠 Types • Congenital – present fro

Positional nystagmus – is it BPPV? When it comes to assessing nystagmus during the Dix Hallpike maneuver, knowing how to interpret those patterns is key! Here’s your quick guide to confirming posterior canal BPPV: 🔎DIRECTION: Look for upward torsion toward the affected ear. ⏳ LATENCY: Notice the short delay before nystagmus kicks in. ⏰ TIME PATTERN: Watch for a brief burst following a crescendo-decrescendo rhythm. Check out how swiftly this nystagmus appeared and disappeared! This highlights th