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The Dix–Hallpike [1] or Nylén–Bárány [2] test is a diagnostic maneuver from the group of rotation tests used to identify benign paroxysmal positional vertigo (BPPV). Procedure [ edit ]
Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. [2] It can be characterized by three main symptoms: positional onset, spinning dizziness and short-lived symptoms. The primary diagnostic maneuver is the Dix-Hallpike which elicits the cardinal sign associated with BPPV, rotatory nystagmus.
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]
Benign paroxysmal positional vertigo, or BPPV, is a disorder caused by the breaking off of a piece of otoconia from the otoliths. The otoconia floats freely in the inner ear fluid, causing disorientation and vertigo. [1] The disorder can be tested for using a nystagmus test, such as the Dix-Hallpike maneuver. This disorder can disrupt the ...
The maneuver works by allowing free-floating particles, displaced otoconia, from the affected semicircular canal to be relocated by using gravity, back into the utricle, where they can no longer stimulate the cupula, therefore relieving the patient of bothersome vertigo. [2] [3] The maneuver was developed by the physician John M. Epley, and was ...
Benign paroxysmal positional vertigo is more likely in someone who gets repeated episodes of vertigo with movement and is otherwise normal between these episodes. [9] Benign vertigo episodes generally last less than one minute. [2] The Dix-Hallpike test typically produces a period of rapid eye movements known as nystagmus in this condition. [1]
Margaret Ruth Dix (1902 – 9 December 1991) was a British neuro-otologist. With Charles Skinner Hallpike , she published important research on vertigo and described the Dix–Hallpike test . Biography
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
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