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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A Critically Appraised Topic”. The modification involves the patient moving from mainobra seated position to side-lying without their head extending off the examination table, such as with Dix—Hallpike.

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

Related Topics in Examination. Search other sites for ‘Dix-Hallpike Maneuver’.

Test de Dix-Hallpike

Patients may naniobra too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test. Patients should address specific medical concerns with their physicians.

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 diix this position for 30 seconds Observe Nystagmus Vertiginous symptoms.

Views Read Edit View history. Medical tests relating to hearing and balance R30—R39 This page was last edited on 11 Decemberat As such, the side-lying position can be used if the Dix—Hallpike cannot be performed easily. When performing the Dix—Hallpike test, patients are lowered quickly to a supine position lying horizontally with the face and torso hallpile up with the neck extended 30 degrees below vertical by the clinician performing the maneuver.


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 fe be in a supine position. From the previous point, the use of this maneuver can be limited by musculoskeletal and obesity issues in a subject. Medical tests Ear procedures. The test results can also be affected by the speed the maneuver is done in and the plane the occiput is in.

A positive test is indicated by patient report of a reproduction of vertigo and clinician observation of nystagmus involuntary eye movement. From Wikipedia, the free encyclopedia. Due to the position of the subject and the examiner, nystagmusif present, can be observed directly by the examiner. There are several disadvantages proposed by Cohen for the classic maneuver. Definition Indication Contraindications Procedure Interpretation: Content is updated monthly with systematic literature reviews and conferences.

Test de Dix-Hallpike – Wikipedia, la enciclopedia libre

Hllpike test Rinne test Tone decay test Weber test Audiometry pure tone visual reinforcement. In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. By using this site, you agree to the Terms of Use and Privacy Policy.


The test may need to be performed more than once as it is not always easy to demonstrate observable nystagmus manobra is typical of BPPV.

These images are a random sampling from a Bing search on the term “Dix-Hallpike Maneuver. Contraindications Elderly with significant carotid vascular disease. Dix—Hallpike test Unterberger test Romberg’s test Vestibulo—ocular reflex. Back Links pages that link to this page.

Dix-Hallpike Maneuver

Although access to this website is not restricted, the information found here is intended for use by medical providers. Search Bing for all related images. Otolaryngology – Examination Pages. Related Bing Di Extra: Both the Dix—Hallpike and the side-lying testing position have yielded similar results. Related links to external sites from Bing.

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

Although there are alternative methods to administering the test, Cohen proposes advantages to the classic maneuver. In these circumstances the side-lying test or other alternative tests may be used. 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.