Benign Paroxysmal Positional Vertigo
Benign Paroxysmal Positional Vertigo
Benign Paroxysmal Positional Vertigo
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Absolute Contra Indications for Dix<br />
Hallpike: Humphriss 2003<br />
Severe cervical spine or lower back problems,<br />
injury or surgery eg RA, fracture, whiplash (see footnote)<br />
Carotid sinus syncope<br />
VBI proven and verified<br />
Vascular dissection syndrome<br />
Arnold Chiari malformation<br />
Footnote: Cervical spine instability including atlanto-axial subluxation, occipitoatlantal<br />
instability, prolapsed disc with radiculopathy, cervical myelopathy, , acute trauma to<br />
neck ‘whiplash’ restricting torsional movement, previous cervical spine surgery, recent<br />
fracture of cervical spine or fracture of odontoid peg aplasia of odontoid process,<br />
severe rheumatoid arthritis affecting neck