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Downbeating nystagmus indicates that the vertigo is in the anterior semicircular canal of the tested side.
The anterior semicircular canal is significantly longer than the others, and the cochlear process is a relatively long, vertically oriented tube.
The superior semicircular canal (anterior semicircular canal) is a part of the vestibular system and detects rotation of the head around a rostral-caudal (anterior-posterior) axis.
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