February 28, 2019

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.

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A positive test is indicated by patient report of a reproduction of vertigo and clinician observation of nystagmus involuntary eye movement. Back Links pages that link to this page. From the previous point, hal,pike use of this maneuver can be limited by musculoskeletal and obesity issues in a subject.

Review Benign paroxysmal positional vertigo. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system.

Dix–Hallpike test

Introduction Haklpike can be a challenging complaint to evaluate and treat. A mat table can be useful for elevating the shoulders and keeping the patient closer to the ground and thus, safer. Video ENG equipment can be used by advanced practitioners to better monitor eye movements during this maneuver. Diagnostic value of repeated Dix-Hallpike and roll maneuvers in benign paroxysmal positional vertigo.

Dix-Hallpike Maneuver

Related Bing Images Extra: Lateral canal pathology may not be detected by this method, and a hhallpike roll test may be done if this is suspected. Epub Apr Content is updated monthly with systematic literature reviews and conferences. StatPearls Publishing ; Jan. As such, the side-lying position can be used if the Dix—Hallpike cannot be performed easily.


Patients should address specific medical concerns with their physicians. 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.

Light-headedness or a sensation of nausea might last longer than one minute, but if the sensation of movement persists for more than one-minute alternative diagnoses must be considered.

Definition Indication Contraindications Procedure Interpretation: Otolaryngol Head Neck Surg. To access free multiple choice questions on this topic, click here. This disease process is thought to be caused by free-floating debris often mameuver the form of a calcium carbonate stones, termed otoliths in the semicircular canals of the inner ear.

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For some patients, this maneuver may not be hallpikke and a modification may be needed that also targets the posterior semicircular canal. Related Topics in Examination. Zhonghua Nei Ke Za Zhi. In these circumstances the side-lying test or other alternative tests may be used. Search other sites for ‘Dix-Hallpike Maneuver’. Any neurological deficit, especially truncal ataxia, maneuveer generate concern for a central cause and trigger further workup. Similar articles in PubMed.


In rare cases a patient may be unable or unwilling to participate in the Dix—Hallpike test due to physical limitations. Medical tests relating to hearing and balance R30—R39 The clinician then lies the patient down quickly with their head past the end of the bed and extends hlalpike neck 20 degrees below the horizontal, maintaining the initial rotation of the head.

Dix Hallpike Maneuver Jonathan D. National Center for Biotechnology InformationU.

Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Review Maneuvers for the treatment of benign positional paroxysmal vertigo: This page was last edited on 11 Decemberat maneuveg Talmud 1 ; Scott C.

Dizziness is a common complaint, and serious causes must be considered and excluded first. This results in the sensation of movement and nystagmus characteristic of vertigo in brief paroxysms with positional changes of the head. In patients without an absolute contraindication, one paper suggests briefly assessing neck rotation and extension before attempting the maneuver to see if these positions can be comfortably manduver for thirty seconds.