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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 horizontal by the clinician performing the maneuver. [3] The Dix–Hallpike and the side-lying testing position have yielded similar results.
A positive test is indicated by the patient report of a reproduction of vertigo and clinician observation of nystagmus. Both the Dix–Hallpike and the side-lying testing position have yielded similar results, and as such the side-lying position can be used if the Dix–Hallpike cannot be performed easily. [26]
Dix–Hallpike test: Margaret R. Dix, Charles Skinner Hallpike: otolaryngology: Benign paroxysmal positional vertigo: synd/3615 at Who Named It? Elicitation of extreme vertigo upon lateral movement of a patient's head when lying in a supine position Döhle bodies: Karl Gottfried Paul Döhle: pathology: various including trauma and neoplasm
Patients with vestibular disorders may go through the Dix-Hallpike maneuver, in which the patient is seated with legs extended and rotates the head 45 degrees. The patient is then asked to lie down on the table and checked for nystagmus , or uncontrollable eye movements.
Dix was born in 1902 and attended Sherborne School for Girls.She studied medicine at the Royal Free Hospital School of Medicine, earning her MBBS in 1937. She then began training as a surgeon, but in 1940 she was injured in an air-raid during the Blitz that left her with a facial disfigurement and pieces of glass in her eyes, forcing her to give up her surgical career.
A tilt table is used to bring a patient in a vegetative state to an upright position. (This video is meant to illustrate the table and its operation, not the test.) A tilt table test (TTT), occasionally called upright tilt testing (UTT), is a medical procedure often used to diagnose dysautonomia or syncope.
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The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) [1] [needs update] of the posterior or anterior canals of the ear. [2]