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

Otolaryngology – Examination Pages. As such, the side-lying position can be used if the Dix—Hallpike cannot be performed easily. Search Bing for all related images.

Test de Dix-Hallpike

Definition Indication Contraindications Procedure Interpretation: The test may need amniobra be performed more than once as it is not always easy to demonstrate observable nystagmus that is typical of BPPV. The head is rotated 45 degrees away from the side being tested, and the eyes are examined for nystagmus. Views Read Edit View history. By using this site, you agree to the Terms of Use and Privacy Policy. There are several disadvantages proposed by Cohen for the classic maneuver.

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 manioba of table Patient remains in this position for 30 seconds Observe Nystagmus Vertiginous symptoms.


Search other sites for ‘Dix-Hallpike Maneuver’. Haallpike tests relating to hearing and balance R30—R39 Some patients with a history of BPPV will not have a positive test result. From the previous point, the use of this maneuver can be limited by musculoskeletal and obesity issues in a subject.

In these circumstances the side-lying test or other alternative tests may be used. 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. If the test is negative, it makes benign positional vertigo a less likely diagnosis and central nervous system involvement should be considered. Patients should address specific medical concerns with their physicians. 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 maneuver.

Related Bing Images Extra: Content is updated monthly with systematic literature reviews and conferences. Related Topics in Examination. A Ahllpike Appraised Topic”.

Hearing test Rinne test Tone decay test Weber test Audiometry pure tone visual reinforcement. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books dde chapters. A positive test is indicated by patient report of a reproduction of vertigo and clinician observation of nystagmus involuntary eye movement.


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. International Journal of Audiology.

Test de Dix-Hallpike – Wikipedia, la enciclopedia libre

Contraindications Elderly with significant carotid vascular disease. Retrieved from ” https: Related links to external sites from Bing.

For some patients, this maneuver may not be indicated and a modification may be needed that also targets the posterior semicircular canal. Medical tests Ear procedures.

Both the Dix—Hallpike and the side-lying testing position have yielded similar results. In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations.

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. From Wikipedia, the free encyclopedia. The test results can also be affected by the speed the maneuver is done in and the plane the occiput is in.

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.