This page includes the following topics and synonyms: Dix-Hallpike Maneuver. Spanish, maniobra de Dix-Hallpike, maniobra de Dix-Hallpike (procedimiento). La sospecha clínica y la realización de la maniobra de Dix-Hallpike confirmaron el diagnóstico de VPPB. La maniobra de Epley resolvió el cuadro de manera.

Author: Yorn Kerr
Country: Cyprus
Language: English (Spanish)
Genre: Medical
Published (Last): 21 May 2005
Pages: 63
PDF File Size: 1.57 Mb
ePub File Size: 11.59 Mb
ISBN: 317-3-23011-499-1
Downloads: 76935
Price: Free* [*Free Regsitration Required]
Uploader: Vudoramar

A positive test is indicated by patient report of a reproduction of vertigo manobra clinician observation of nystagmus involuntary eye movement. Content is updated monthly with systematic literature reviews and conferences. This page was last edited on 11 Decemberat Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test.

Some patients with a history of BPPV will not have a positive test result. These images are a random sampling from a Bing search on the term “Dix-Hallpike Maneuver. Related Bing Images Extra: Medical tests relating to hearing and balance R30—R39 Search Bing for all related images. Patients should address specific medical concerns with hallpik physicians.

Otolaryngology – Examination Pages. Due to the position of the subject and the examiner, nystagmusif present, can be observed directly by the examiner. The test can be easily administered by a single examiner, which prevents the need for external aid.

Such patients include those who are too anxious about eliciting the uncomfortable symptoms of vertigo, and those who may not have the range of motion necessary janiobra comfortably be in a supine position.

Search other sites for ‘Dix-Hallpike Maneuver’. Definition Indication Contraindications Procedure Interpretation: From the previous point, the use of this maneuver can be limited by musculoskeletal and obesity issues in a subject.


Related Topics in Examination. Contraindications Elderly with significant carotid vascular disease. Views Read Edit View history. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.

International Journal of Audiology. Both the Dix—Hallpike and the side-lying testing position have yielded similar results. The test results can also be affected by the speed the maneuver is done in and the plane the occiput is in.

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. Hearing test Rinne test Tone decay test Weber test Audiometry pure tone visual reinforcement.

For some patients, this maneuver may not be indicated and a modification maniobr be needed that also targets the posterior semicircular canal.

In these circumstances the side-lying test or other alternative tests may be used.

Dix-Hallpike Maneuver

Although there are alternative methods to administering the test, Cohen proposes advantages to the df maneuver. Medical tests Ear procedures. Related links to external sites from Bing. Back Links pages that link to this page.

Test de Dix-Hallpike

In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations. If the test is negative, it makes benign positional vertigo a less likely diagnosis and central nervous system involvement should be considered. The head is rotated 45 degrees away from the side being tested, and the eyes are examined for nystagmus. 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.


Dix–Hallpike test

By using this site, you agree to the Terms of Use and Hxllpike Policy. Although access to this website is not restricted, the information found here is intended for use by medical providers.

From Wikipedia, the free encyclopedia. A Critically Appraised Topic”. The test may need to be performed more than once as it is not always easy to demonstrate observable nystagmus that is typical of BPPV.

There are several disadvantages proposed by Cohen for the classic maneuver. When performing the Dix—Hallpike test, patients are lowered quickly to a supine position lying horizontally with the face and torso facing up with the neck extended 30 degrees below vertical by the clinician performing the maneuver.

The modification involves the patient moving from a seated position to side-lying without their head extending off the examination table, such as with Dix—Hallpike. Dix—Hallpike test Unterberger test Romberg’s test Vestibulo—ocular reflex. Retrieved from ” https: A subject must have adequate cervical spine range of motion to allow neck extension, as well as trunk and hip range of motion to lie supine. As such, the side-lying position can be used if the Dix—Hallpike cannot be performed easily.