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.

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Back Links pages that link to this page. There are several disadvantages proposed by Cohen for the classic maneuver. 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. Contraindications Elderly with significant carotid vascular disease.

The test results can also be affected by the speed the maneuver is done in and the plane the occiput is in.

Both the Dix—Hallpike and the side-lying testing position have yielded similar results. Patients should address specific medical concerns with their physicians.

Dix–Hallpike test

Related links to external sites from Bing. Some patients with a history of BPPV will not have a positive test result.

Hearing test Rinne test Tone decay test Weber test Audiometry pure tone visual reinforcement. Views Read Edit View history. The head is rotated 45 degrees away from the side being tested, and the eyes are examined for nystagmus.

Otolaryngology – Examination Pages. Search Bing for all related images. A positive test is indicated by patient report of a reproduction of vertigo and clinician observation of nystagmus involuntary eye movement.

Retrieved from ” https: Medical tests relating to hearing and balance R30—R39 This page was last edited on 11 Decemberat In these circumstances the side-lying test or other alternative tests may be used. International Journal of Audiology. By using this site, you agree to the Terms of Use and Privacy Policy.


From Wikipedia, the free encyclopedia. Search other sites for ‘Dix-Hallpike Maneuver’. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. From the previous point, the use of this maneuver can be limited by musculoskeletal and obesity issues in a subject. Although access to this website is not restricted, the information found here is intended for use by medical providers.

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.

Test de Dix-Hallpike

A subject must have adequate cervical spine range of motion to allow hqllpike extension, as well as trunk and hip range of motion to lie supine. Due to the position of the subject and the examiner, nystagmusif present, can be observed directly by the examiner. Definition Indication Contraindications Procedure Interpretation: If the test is negative, it makes benign positional vertigo a less likely diagnosis and central nervous system involvement should be considered.

Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test.

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

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Dix–Hallpike test – Wikipedia

As such, the side-lying position can be used if the Dix—Hallpike cannot be performed easily. 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.


These images are a random sampling from a Bing search on the term “Dix-Hallpike Maneuver. Medical tests Ear procedures. Dix—Hallpike test Unterberger test Romberg’s test Vestibulo—ocular reflex. 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.

Although there are alternative methods to administering the test, Cohen proposes advantages to the classic maneuver.

The test can be easily administered by a single hallplke, which prevents the need for external aid. Related Topics in Examination. Content is updated monthly with systematic literature reviews and conferences. Related Bing Images Extra: For some patients, this maneuver may not be indicated and a modification may be needed that also targets the posterior semicircular canal.

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. In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical dxi.