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The vestibular system is responsible for balance and spatial orientation, which relies on gravity to interpret “up,” “down,” and motion. In microgravity, this reference is essentially lost, leading to adaptive changes in how the brain processes vestibular input. When astronauts return to Earth, their vestibular system is temporarily mismatched with gravity again, resulting in impaired balance and spatial disorientation, especially evident when visual cues are removed (e.g., eyes closed). This ha
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🥸👁️ Is right torsional downbeat nystagmus in the 3rd position/part of a left modified Epley maneuver (nose down position, treating left posterior canalithiasis) usually a good or a bad sign for success of treatment? 🤔❓ Maybe not good, but we'll need to re-test a left Dix-Hallpike after 10-15 minutes to be sure! Right torsional downbeat nystagmus (fancy term:
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