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. 2014 Nov 20;14:136. doi: 10.1186/1471-2415-14-136

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© Oh et al.; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Thirty-degree head flexion from the pitch plane. When it is performed before the lying-down test (A, B) in right horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV), more intense lying-down nystagmus is elicited due to greater angular acceleration (C). (Adapted from reference [23]: G. Asprella-Libonati. Pseudo-Spontaneous Nystagmus: a new sign to diagnose the affected side in Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo. Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, Figure one, three 2008, 28(2):73–78., with permission, Copyright © by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale Via Luigi Pigorini, 6/3 00162 Roma, Italy).