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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This page was last edited on 11 Decemberat Medical tests relating to hearing and balance R30—R39 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.

International Journal of Audiology.

Related Bing Images Extra: The maniobr may need to be performed more than once as it is not always easy to demonstrate observable nystagmus that is typical of BPPV. 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. Both the Dix—Hallpike and the side-lying testing position have yielded similar results.

Related links to external sites from Bing. Content is updated monthly with systematic literature reviews and conferences.

Dix–Hallpike test

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 manioobra clinician performing the maneuver. From Wikipedia, the free encyclopedia. In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations.

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 manobra degrees hanging over end of table Patient remains in this position for 30 seconds Observe Nystagmus Vertiginous symptoms.


The modification involves the patient moving from a seated position to side-lying without manioobra head extending off hallpile examination table, such as with Dix—Hallpike. Although access to this website is not restricted, the information found here is intended for use by medical providers.

Dix–Hallpike test – Wikipedia

A Critically Appraised Topic”. Although there are alternative methods to administering the test, Cohen proposes advantages to dic classic maneuver. The test results can also be affected by the speed the maneuver is done in and the plane the occiput is in. From the previous point, the use of this maneuver can be limited by musculoskeletal and obesity issues in a subject. Hearing test Rinne test Tone decay test Weber test Audiometry pure tone visual reinforcement.

There are several disadvantages proposed by Cohen for the classic maneuver. Views Read Edit View history.

These images are a random sampling from a Bing search on the term “Dix-Hallpike Maneuver. The head is rotated 45 degrees away from the side being tested, and the eyes are hallpi,e for nystagmus. Patients should address specific medical concerns with their physicians.

Patients may be too tense, for fear of producing vertigo hallpiks, 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.

Back Links pages that link to this page. If the test is negative, it makes benign positional vertigo a less likely diagnosis and central nervous system involvement should be considered. Otolaryngology – Examination Pages.


Test de Dix-Hallpike – Wikipedia, la enciclopedia libre

Search other sites for ‘Dix-Hallpike Maneuver’. Retrieved from ” https: 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 hal,pike Counterclockwise or clockwise Latent period follows procedure before Nystagmus Response Fatigue s or habituates on repetition.

For some patients, this maneuver may not be indicated and a modification may be needed that also targets the posterior semicircular canal. Dix—Hallpike test Unterberger test Romberg’s test Vestibulo—ocular reflex.

A positive test is indicated by patient report of a reproduction of vertigo and clinician observation of nystagmus involuntary eye movement.

Test de Dix-Hallpike

By using this site, you agree to the Terms of Use and Privacy Policy. Search Bing for all related images. Contraindications Elderly with significant carotid vascular disease. The test can be easily administered by a single examiner, which prevents the need for external aid.

Due to the manioobra of the subject and the examiner, nystagmusif present, can be observed directly by the examiner. Definition Indication Contraindications Procedure Interpretation: Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.

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