Test: Dix-Hallpike Maneuver

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Background/Purpose

Procedure

This test is used to identify benign paroxysmal positional vertigo (BPPV). Patients are lowered quickly onto their back with the neck extended by the clinician. A positive test reproduces vertigo and the observation of nystagmus. A modification targets the posterior semicircular canal by having the patient moving from a seated position to side-lying without their head extending off the examination table, The head is rotated 45 degrees to the side being tested, and the eyes are examined for nystagmus.
Performed: Bilaterally

Dialog

Nylen–Barany test

Criteria

• No reproduction of vertigo and nystagmus

Measurement

0.00

LOINC Code

0

Scale/Grading

Pass/Fail