Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay in nystagmus and vertigo once in head-hanging position) of approximately 3 to 10 seconds, although delay can take up to 30 seconds on rare occasions • Reproduction of vertigo symptoms in head-hanging position • Upbeat (fast phase toward forehead) and torsional nystagmus (usually toward the downward ear) • Vertigo and nystagmus escalates in head-hanging position, then slowly resolves over 5 to 30 seconds • Nystagmus and vertigo may reverse direction when patient returns to sitting position • Nystagmus and vertigo decrease with repeated testing (fatigability) #dixhallpike #physicalexam #testing #findings #signs #bppv #vertigo
