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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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. Patients should address specific medical concerns with their physicians. These images are a random sampling from a Bing search on the term “Dix-Hallpike Maneuver. Otolaryngology – Examination Pages. Search other sites for ‘Dix-Hallpike Maneuver’.

Test de Dix-Hallpike – Wikipedia, la enciclopedia libre

If the test is negative, it makes benign positional vertigo a less likely diagnosis and central nervous system mabiobra should be considered. For some patients, this maneuver may not be indicated and a modification may be needed that also targets the posterior semicircular canal.

Both the Dix—Hallpike and the side-lying testing position have yielded similar results.

Although access to this website is not restricted, the information found here is intended for use by medical providers. Back Links pages that link to this page.

There are several disadvantages proposed by Cohen for the classic maneuver. From Wikipedia, the free encyclopedia. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.


By using this site, you mqniobra to the Terms of Use and Privacy Policy. 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.

Dix-Hallpike Maneuver

The test can be easily administered by a single examiner, which prevents the need for external aid. Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test.

In these circumstances the side-lying test or other alternative tests may be used. Search Bing hzllpike all related images.

A Critically Appraised Topic”. Procedure Patient starts in sitting position on exam table Facing forward with eyes open Rapidly lie patient backward Head turned 45 ds 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 head is rotated 45 degrees away from the side being tested, and the eyes are examined for nystagmus. A positive test is indicated by patient report of a reproduction of vertigo and clinician observation of nystagmus involuntary eye movement. 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.


Medical tests relating to hearing and balance R30—R39 Views Read Edit View history. Some patients with a history of BPPV will not have a positive test result. International Journal of Audiology.

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 facing up with the neck extended 30 degrees below vertical by the clinician performing the ballpike.

Test de Dix-Hallpike

In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations. Related links to external sites from Bing. Retrieved from ” https: Contraindications Elderly with significant carotid vascular disease.

Positive signs suggestive of Paroxysmal Positional Vertigo Vertigo Rotary Nystagmus Globe torques around central axis Counterclockwise or clockwise Latent period follows ce before Nystagmus Response Fatigue s or habituates on repetition.