35 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... in head-hanging position ... in head-hanging position ... in head-hanging position ... returns to sitting position
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... vascular causes • Nystagmus ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Vertigo (BPPV) ... : Positive usually ... torsional nystagmus ... in head-hanging position ... Labyrinthitis #diagnosis #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
sitting to supine position ... patient in this position ... to the upright position ... to the sitting position ... Instructions #Diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
positive (abnormal ... peripheral cause of AVS and ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... The test is positive ... Pace #Maneuver #Test ... #Piriformis #Syndrome ... clinical #video #physicalexam
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... Vertigo #diagnosis #neurology ... #bppv #comparison
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 ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... remains in this position ... remains in this position ... holds a sitting position