Exam
Dix-Hallpike Maneuver
search
Dix-Hallpike Maneuver
See Also
HiNTs Exam
(
Three-Step Bedside Oculomotor Examination
)
Horizontal Head Impulse Test
(
Head Thrust Test
,
h-HIT
)
Nystagmus
Skew Deviation
(
Vertical Ocular Misalignment
,
Vertical Heterotropia
,
Vertical Strabismus
)
Vertigo
Vertigo Causes
Peripheral Causes of Vertigo
Central Causes of Vertigo
Vertigo Management
Meniere's Disease
Motion Sickness
Vestibular Neuronitis
Benign Paroxysmal Positional Vertigo
Perilymphatic Fistula
(
Hennebert's Sign
)
Acute Labyrinthitis
Bacterial Labyrinthitis
(
Acute Suppurative Labyrinthitis
)
Dizziness
Dysequilibrium
Syncope
Light Headedness
Definition
Vestibular Testing
Indication
Paroxysmal Positional Vertigo
Exam
Vertigo
evoked by position change
No symptoms at rest
Contraindications
Elderly with significant carotid vascular disease
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
Interpretation
Positive signs suggestive of
Paroxysmal Positional Vertigo
Vertigo
Rotary
Nystagmus
Globe torques around central axis
Counterclockwise or clockwise
Latent period follows procedure before
Nystagmus
Response
Fatigue
s or habituates on repetition
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
)
Kerber (2009) Emerg Med Clin North Am 27(1): 39-50 [PubMed]
Type your search phrase here