Idiopathic V.D.

• Re-check in one week

  • Ought to be better

• Re-check in one month

  • Should still be improving

• Re-check again if any signs persist

  • Head tilt may be permanent

• Thought to be secondary to an immune act on the 8th nerve

  • Remember each cranial nerve is antigenically distinct

• Can re-occur

Summary of Case Management

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