II. Definition
- Vestibular Testing
III. Indication
-
Paroxysmal Positional Vertigo Exam
- Vertigo evoked by position change
- No symptoms at rest
IV. Contraindications
- Elderly with significant carotid vascular disease
V. Procedure
- Patient starts in sitting position on exam table
- Facing forward with eyes open
- Rapidly lie patient backward
- Head turned 45 degrees to RIGHT
- Neck extended 20 degrees hanging over end of table
- Patient remains in this position for 30 seconds
- Sit patient up
- Rapidly lie patient backward
- Head turned 45 degrees to LEFT
- Neck extended 20 degrees hanging over end of table
- Patient remains in this position for 30 seconds
- Observe
- Nystagmus
- Vertiginous symptoms
VI. Interpretation: Positive signs suggestive of Paroxysmal Positional Vertigo
VII. Efficacy
- See HiNTs Exam (Three-Step Bedside Oculomotor Examination) as a better alternative for the acute Vertigo evaluation
- Unreliable in distinguishing peripheral Vertigo from central Vertigo (Cerebrovascular Accident)
Images: Related links to external sites (from Bing)
Related Studies
| Concepts | Diagnostic Procedure (T060) |
| SnomedCT | 426166007 |
| English | Dix-Hallpike maneuver, Dix-Hallpike maneuver (procedure), Dix-Hallpike manoeuvre |
| Spanish | maniobra de Dix-Hallpike, maniobra de Dix-Hallpike (procedimiento) |
