21 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Vertigo (BPPV) ... in head-hanging position ... toward the downward ear ... findings #signs #bppv
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... BENIGN PAROXYSMAL POSITIONAL ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... or supine roll test
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... (BPPV); worsens ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... Central #Peripheral #Vertigo ... #diagnosis #neurology ... #bppv #comparison
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Benign paroxysmal positional ... vertigo (BPPV) ... with significant neurologic ... attacks with varying neurologic ... differential #diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... of the affected ear ... that the opposite ear ... Epley #Maneuver #BPPV ... #vertigo #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... Epley #Maneuver #BPPV ... Benign #paroxysmal #positional ... #vertigo #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... toward the affected ear ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... 45° towards the test ... throughout the test ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology