This page includes the following topics and synonyms: Dix-Hallpike Maneuver. RECOMMENDED PROCEDURE FOR HALLPIKE MANOEUVRE. 1. Introduction. The Hallpike test (also known as the DixHallpike test or manoeuvre) was. Contraindications for the Hallpike-Dix test and Epley maneuver include vertebral artery stenosis, cervical spine dysfunction, or osteoporosis. •. Recommend.

Author: Mezijora Felmaran
Country: Armenia
Language: English (Spanish)
Genre: History
Published (Last): 19 February 2005
Pages: 135
PDF File Size: 18.52 Mb
ePub File Size: 16.10 Mb
ISBN: 572-3-95061-209-6
Downloads: 86197
Price: Free* [*Free Regsitration Required]
Uploader: Goltigami

National Center for Biotechnology InformationU. Epub Apr Review Maneuvers for the treatment of benign positional paroxysmal vertigo: Related Bing Images Extra: The hair cells are mechanically pushed by the resistance of the endolymph, opening mechanically gated ion channels that trigger an action potential indicating rotational movement.

Dix Hallpike Maneuver – StatPearls. Number of maneuvers need to get a negative Dix-Hallpike test. Video ENG equipment can be used by advanced practitioners to better monitor eye movements during this mneuver. Talmud ; Scott C. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system.

Technique The patient begins sitting up, and their head is oriented 45 degrees toward the ear to be tested. This book is distributed under the terms of the Creative Commons Attribution 4.

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.

Otolaryngol Head Neck Surg. All that is required for this test is a bed that can recline to horizontal, but maneuveg equipment can be helpful, if available. If the test is negative but clinical suspicion remains high, the patient should be given a chance to recover for at least one minute, and then testing of the other ear can be undertaken.


Three canals make up this system, each forming a loop filled with endolymph and lined with hair cells. Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test.

There was a problem providing the content you requested

The clinician then lies the patient down quickly with their head past the end of the bed and extends their neck 20 degrees below the horizontal, maintaining the initial rotation of the head.

Support Center Support Center. In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations. Personnel This test can be accomplished by a single practitioner. 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.

Contraindications Elderly with significant carotid vascular disease.

Dix-Hallpike Maneuver

Each of the three canals is oriented slightly differently, with the anterior and posterior canals in the vertical plane, set to detect movement in the sagittal and coronal planes, respectively, and the lateral canal 30 degrees off from the horizontal plane, detecting movement to the left or right in the horizontal plane.

Questions To access free multiple choice questions on this topic, click here. While there is a high rate of recurrence and this is not always effective, relieving the symptoms of our patients in this way is highly desirable, and patients can be given instructions on how to do this at home for recurrences. Although there are alternative methods to administering the test, Cohen proposes advantages to hallpile classic maneuver. Both the Dix—Hallpike and the side-lying testing position have yielded similar results.


Typically, after a five to second delay, this will cause vertigo and rotary or up-beating nystagmus, which will resolve within 60 seconds. There are several disadvantages proposed by Cohen for the classic maneuver. It can arise from a slew of vastly different pathophysiologies, with acuity ranging maneuger minimally consequential to catastrophic. The patient is positioned recumbent with the head back and toward the affected ear, causing the otolith to progress superiorly along the natural course of the canal.

Non-paroxysmal vertigo is more likely to be caused by a vestibular syndrome or central etiology, such as brain stem stroke.

The exclusion of dangerous etiologies of vertigo should be the clinician’s primary concern, requiring excellent history and physical examination skills. Some patients with a history of BPPV will not have a positive test result. Definition Indication Contraindications Procedure Interpretation: From Wikipedia, the free encyclopedia. The head is rotated 45 degrees away from the side being tested, and the eyes are examined for nystagmus. International Journal of Audiology.

Back Links pages hqllpike link to this page. This page was last edited on 11 Decemberat Please review our privacy policy.

Dix–Hallpike test

Views Read Edit View history. A Critically Appraised Topic”. Turn recording back on.