Benign Paroxysmal Positional Vertigo

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Absolute Contra Indications for Dix Hallpike: Humphriss 2003 Severe cervical spine or lower back problems, injury or surgery eg RA, fracture, whiplash (see footnote) Carotid sinus syncope VBI proven and verified Vascular dissection syndrome Arnold Chiari malformation Footnote: Cervical spine instability including atlanto-axial subluxation, occipitoatlantal instability, prolapsed disc with radiculopathy, cervical myelopathy, , acute trauma to neck ‘whiplash’ restricting torsional movement, previous cervical spine surgery, recent fracture of cervical spine or fracture of odontoid peg aplasia of odontoid process, severe rheumatoid arthritis affecting neck
Functional Neck Mobility Assessment: Humphriss If patient can sit for 30 s without pain or discomfort with Neck torsion 45°: : side lying test √ Neck torsion + extension: Dix Hallpike √ Humphriss 2003
Page 1 and 2: Benign Paroxysmal Positional Vertig
Page 3 and 4: BPPV Caused by otoconia present wi
Page 5 and 6: Comparison with other Balance Organ
Page 7 and 8: What would be your Ideal Test Quic
Page 9 and 10: Dix Hallpike http://emcrit.org
Page 11: Right Dix Hallpike 1. Sat upright w
Page 15 and 16: Other Points (2) Hold position for
Page 17 and 18: Positive Dix Hallpike Nystagmus fo
Page 19 and 20: Left Posterior Canal Canalithiasis
Page 21 and 22: Barker BPPV 2010
Page 23 and 24: Answers 1. Torsional to left ear a
Page 25 and 26: Is it BPPV History very important
Page 27 and 28: Management: Epley manoeuvre Furman,
Page 29 and 30: Progression of Otoliths through Pos
Page 31: Practical Demonstration of Dix Hall

Benign Paroxysmal Positional Vertigo

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