Dr. Purcell has the most extensive diagnostic and treatment protocols for canalith repositioning chairs in the world. Whereas most phsyicians and patients peforming internet research believe there are only a few different eye movements driven by dislodged otoliths in the inner ear, Dr. Purcell has identified a very large series of potential eye movement patterns. These nystagmus patterns not only aid in the diagnosis of complex BPPV but also more accurate and effective treatment protocols. The orientation of the vestibular labyrinth as it sits positioned in the temporal bone of the patient is often not propely understood by technicians or physicians performing Dix-Hallpike and Epley manuevers. This is often more of an issue when patients are being tested on canalith repositioning chairs. These eye movement patterns below were collected on the Vesticon Epley Omniax Chair over a series of 20,000 patients.


Y - Yaw
P - Pitch
UF - Utricular Fugal
UP - Utricular Pedal
+   excitatory response
-   inhibitory response
CW - Clockwise nystagmus
CCW - Counterclockwise nystagmus
Up arrow - Upbeat nystagmus

Down arrow - Downbeat nystagmus
RB - right beat
LB - left beat
Br - barrel roll
Dix - Dix- Hallpike
AD - right ear
AS - left ear
SUP - supine position