21 results
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Dix Hallpike Maneuver ... This is a case of right ... #Dix #Hallpike ... #physicalexam #ophthalmology ... #neurology #Frenzel
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... Dix Hallpike Maneuver ... #Dix #Hallpike ... #physicalexam #ophthalmology ... #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... for BPPV Procedure ... to the affected right ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... change • Neurologic ... auditory findings BPPV
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... patient look left, right ... Vertigo #diagnosis #neurology ... #bppv #comparison
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... Hallpike test: Positive ... and torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... identify posterior BPPV ... patient in supine position ... #neurology #Animated
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... The Dix–Hallpike ... patient in supine position ... #neurology #PhysicalExam