This page includes the following topics and synonyms: Dix-Hallpike Maneuver. Dix Hallpike Test. • Stand to the side of the patient. • Pt sitting with head turned to examiner. • Pt sat so that when supine, the head will be beyond the end of. The Dix-Hallpike test, also called the “Hallpike” is the definitive diagnostic test If the person has arthritis in their neck, the maneuver may be.

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Dix–Hallpike test

Frenzel Goggles used to visualize the eyes during the Dix-Hallpike test. If no nystagmus ensues, the person is brought back to sitting.

This is the optical type. Talmud ; Scott C.

Author Information Authors Jonathan D. Search other sites for ‘Dix-Hallpike Maneuver’. Medical tests relating to hearing and balance R30—R39 Other types are d escribed here.

Dix-Hallpike Maneuver

The exclusion of dangerous etiologies of vertigo should be the clinician’s primary concern, requiring excellent history and physical examination skills. Non-paroxysmal vertigo is more likely to be caused by a vestibular syndrome or central etiology, such as brain stem stroke.


Others are described here. Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk gallpike movements for the test. Torsional nystamus cannot be recorded on ENG.

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

Hearing test Rinne test Tone decay test Weber test Audiometry pure tone visual reinforcement. Click here to see a movie of BPPV nystagmu s 13 megabyte. Questions To access free multiple choice questions on this topic, click here. Turn recording back on.

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More material about Frenzel goggles and video ENG goggles can be found here. This consists of files too large for a reasonable download, which can be found on the site DVD: Patients should address specific medical concerns with their physicians.

Dix—Hallpike test Unterberger test Romberg’s test Vestibulo—ocular reflex. The ENG system that we use in our clinical practice in Chicago is shown above the computer system. A person is brought from sitting to a supine position, with the head turned 45 degrees to one side and extended about 20 degrees backward. Clear Turn Off Turn On. Once supine, the eyes are typically observed for about 30 seconds.


Cervical instability, vascular problems like vertebrobasilar insufficiency and carotid sinus syncope, acute neck trauma and cervical disc prolapse are absolute contraindications. Search Bing for all related images.

Contraindications The Dix-Hallpike maneuver should be avoided in a patient with neck pathology, in whom the movements involved could be dangerous to the patient. Some patients with a history of BPPV will not have a positive test result. This page was last edited on 11 Decemberat While there is a high rate of recurrence and this is not always effective, relieving the symptoms of our hallpime in this way is highly desirable, and patients can be given instructions on how to do this at home for recurrences.

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.