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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Content is updated monthly with systematic literature reviews and conferences. Started inthis gallpike now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.

International Journal of Audiology.

A positive test is indicated by patient report of a reproduction of vertigo and clinician observation of nystagmus involuntary eye movement. By using this site, you agree to the Terms of Use and Privacy Policy. Back Links pages that link to this page. Medical tests relating to hearing and balance R30—R39 The head is rotated 45 degrees away from the side being tested, and the eyes are examined for nystagmus.

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

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

Related Bing Images Extra: If the test is negative, it makes benign positional vertigo a less likely diagnosis and central hallipke system involvement should be considered.

A Critically Appraised Topic”. Contraindications Elderly with significant carotid vascular disease. Retrieved from ” https: Both the Dix—Hallpike and the side-lying testing position have yielded similar results. In these circumstances the side-lying test or other alternative tests may be used.


Dix-Hallpike Maneuver

Although access to this website is not restricted, the information found here is intended for use by medical providers. Some patients with a history of BPPV will not have a positive test result. Related links to external sites from Bing. Search Bing for all related images.

Dix–Hallpike test

Hearing test Rinne test Tone decay test Weber test Audiometry pure tone visual reinforcement. Definition Indication Contraindications Procedure Interpretation: Medical tests Ear procedures.

Otolaryngology – Examination Pages. As such, the side-lying position can be used if the Dix—Hallpike cannot be performed easily. In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations. Although there are alternative methods to administering the test, Cohen proposes advantages to the classic maneuver. The test results can also be affected by the speed the maneuver is done in and the plane the occiput is in.

Views Read Edit View history. When hallplke 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. This page was last edited on 11 Decemberat For some patients, this maneuver may not be indicated and a modification may be needed that also targets the posterior semicircular canal.

There are several disadvantages proposed by Cohen for the classic maneuver. Patients should address specific medical concerns with their physicians.

Test de Dix-Hallpike

Due to the position of the subject and the examiner, nystagmusif present, can be observed directly by the examiner. Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test.


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. 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 to comfortably be in a supine position.

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.

The test can be easily administered by a single examiner, which prevents the need for external aid. 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.

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. From Wikipedia, the free encyclopedia. Related Topics in Examination.