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Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Vertigo (BPPV) ... vertigo once in head-hanging ... symptoms in head-hanging ... 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) ... consistent with BPPV ... worsened in head-hanging ... position (Note:
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... Positive Hallpike test ... or supine roll test
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 ... with the head hanging ... DixHallpike #Maneuver #BPPV
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... into a supine position ... remains in this position ... remains in this position ... Epley #Maneuver #BPPV
External Ventricular Drain (EVD) Troubleshooting for Neurosurgery Residents

Low Hanging Fruit
 • Has the system become disconnected
Residents Low Hanging ... "Two Tests" for ... : • The Drop Test ... • The Raise Test
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... with head hanging ... The test is positive ... neurology #vertigo #bppv
Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
(using Speed's test ... (In Speed's test ... anteriorly, palm facing ... is a positive test
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Benign Paroxysmal Positional ... Vertigo (BPPV):