Supine roll testPeripheral · treat
Horizontal apogeotropic
Horizontal-canal BPPV — beats away from the ground (cupula variant).
Supine roll testLive
Direction-changing horizontal nystagmus on the roll test that beats away from the ground (apogeotropic), suggesting a cupulolithiasis variant. Still peripheral — treated with Gufoni or roll maneuvers; the weaker-response side is usually the affected ear.
Source: AAO-HNS BPPV CPG (2017); StatPearls: BPPV.
Other signs
Stylised teaching animations authored by NeuroDash. Not real-patient recordings, not board-certified, and not reviewed by an outside specialist. Educational only — not medical advice or a diagnosis.