Gaze, fixation removedPeripheral · treat

Mixed horizontal-torsional

Real peripheral neuritis is rarely purely horizontal.

Gaze, fixation removedLive

Unidirectional, but with both a horizontal and a torsional component together — the more realistic texture of vestibular neuritis (the labyrinth's canals are rarely damaged in perfect isolation). Still peripheral: with an abnormal head impulse and no skew, treat as neuritis, not as something more exotic.

Source: Kattah 2009; Leigh & Zee.

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Other signs

Up-beating torsional

Dix-Hallpike

Horizontal direction-changing

Supine roll test

Horizontal apogeotropic

Supine roll test

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.