Side-Lying as an Alternative to the Dix-Hallpike Test of the Posterior Canal

@article{Cohen2004SideLyingAA,
  title={Side-Lying as an Alternative to the Dix-Hallpike Test of the Posterior Canal},
  author={Helen S. Cohen},
  journal={Otology \& Neurotology},
  year={2004},
  volume={25},
  pages={130-134}
}
  • H. Cohen
  • Published 2004
  • Medicine
  • Otology & Neurotology
Objective: Limitations in passive or active range of motion preclude testing some patients suspected of benign paroxysmal positional vertigo of the posterior semicircular canal (BPPV) with the Dix-Hallpike maneuver. The goal of this study was to determine if an alternative test, brisk side-lying with the nose turned 45° away from the tested side, yields the same results as the Dix-Hallpike maneuver. Study Design: Prospective, within-groups. Setting: Diagnostic laboratory at a tertiary care… Expand

Paper Mentions

Interventional Clinical Trial
The purpose of this study was to determine the relative short- and long-term efficacy of several physical treatment paradigms commonly employed for the treatment of benign paroxysmal… Expand
ConditionsVertigo
InterventionBehavioral
Efficacy of a new treatment maneuver for posterior canal benign paroxysmal positional vertigo.
TLDR
The Gans repositioning maneuver (GRM) is an efficacious treatment maneuver for PC-BPPV and may be preferential for use in patients with neck, back, hip, and/or mobility issues that contraindicate the use of SLM or CRM. Expand
The efficacy of a modified Dix-Hallpike test with a pillow under shoulders.
TLDR
The modified version of the standard DH test, the 'pillow under shoulders' method, may be a reliable, comfortable option to diagnose vertical canal BPPV and it is suggested that this method can be used when head hanging is not feasible or sufficient for the standardDH test. Expand
Comparison of repositioning maneuvers for benign paroxysmal positional vertigo of posterior semicircular canal: advantages of hybrid maneuver.
TLDR
The HM allows us to obtain a good percentage of success similar to most maneuvers used, and is also more comfortable for the patients with hip or neck functional limitation allowing an effective treatment of the posterior canal BPPV. Expand
An augmented liberatory maneuver for benign paroxysmal positional vertigo for patients who are difficult to move
  • H. Cohen, E. Murphy
  • Medicine
  • Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2007
TLDR
Sometimes patients do not have vertigo in side lying, but they complain of vertigo when halfway between the side-lying and upright positions, possibly because of a clot of otoconial matter, or canalith jam, wedged part way in the semicircular canal. Expand
Diagnostic Value of Straight Head Hanging in Posterior Canal Benign Paroxysmal Positional Vertigo
  • Xia Ling, Hyo Jung Kim, Jong Hee Lee, Jeong Yoon Choi, Xu Yang, Ji Soo Kim
  • Medicine
  • Journal of clinical neurology
  • 2021
TLDR
Given its simplicity, SHH may be performed before the Dix-Hallpike maneuver, and CRT may be attempted thereafter when the typical positional nystagmus for unilateral PC-BPPV is induced during SHH. Expand
Epley Maneuver Versus Gans Repositioning Maneuver in Treating Posterior Canal BPPV and Familial Incidence of BPPV: Protocol for A Randomized Controlled Trial
Benign paroxysmal positional vertigo (BPPV) is a widely recognized vestibular disorder which occurs with short periods of paroxysmal vertigo produced in specific positions. This investigation targetsExpand
Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds
TLDR
Investigation of the prevalence of dizziness and/or impaired balance and BPPV in a population of 75-year-olds by means of a questionnaire and clinical tests, and to compare elderly persons with and without BPPVs found subjective and objective unsteadiness, dizziness, and B PPV are common in the elderly. Expand
Establishing a Diagnosis of Benign Paroxysmal Positional Vertigo Through the Dix-Hallpike and Side-Lying Maneuvers: A Critically Appraised Topic
TLDR
The Dix-Hallpike test is the standard from which the diagnosis of posterior semicircular canal BPPV is made and therefore evaluations of its diagnostic test properties and utility are challenging. Expand
Diagnostic Positional Tests and Therapeutic Maneuvers in the Management of Benign Paroxysmal Positional Vertigo
Benign Paroxysmal Positional Vertigo (BPPV), the most common vestibular disorder characterized by recurrent, brief episodes of vertigo, is attributed to the presence of otoconia in the semicircularExpand
Repositioning Maneuvers for Benign Paroxysmal Positional Vertigo
TLDR
There is good evidence to support treatment of posterior canal BPPV with Epley or Semont maneuvers and horizontal canal B PPV with Gufoni maneuvers or BBQ roll; and weaker evidence for head hanging maneuvers in the least common anterior canal variant. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 14 REFERENCES
Benign positional vertigo
TLDR
The clinical and oculographic features in 240 patients with benign positional vertigo (BPV) are consistent with a peripheral, posterior semicircular canal origin of BPV. Expand
Diagnostic problems in patients with benign paroxysmal positional vertigo
TLDR
Analysis of the reviewed data in 95 patients showed that one third of the patients described the vertigo in a rather atypical way, while the further testing revealed a typical BPPV, so that in some patients more than one examination was necessary to come to a reliable diagnosis. Expand
Diagnostic problems in patients with benign paroxysmal positional vertigo.
TLDR
Analysis of the reviewed data in 95 patients showed that one third of the patients described the vertigo in a rather atypical way, while the further testing revealed a typical BPPV, so that in some patients more than one examination was necessary to come to a reliable diagnosis. Expand
The Pathology, Symptomatology and Diagnosis of Certain Common Disorders of the Vestibular System
TLDR
In the course of the present communication an attempt will be made to advance the process of its clarification, both by critical review and by a short account of some of the recent investigations. Expand
CLINICAL NEUROPHYSIOLOGY OF THE VESTIBULAR SYSTEM, 3RD EDN
TLDR
The authors’ account of neuro‐otological diseases and disorders is impressively knowledgeable and comprehensive, ranging through infection, degeneration, hydrops, immune disorders, migraine, vascular disease, tumor and trauma, toxic and metabolic disorders, development and heredity. Expand
Clinical neurophysiology of the vestibular system.
TLDR
This book provides a framework for understanding the pathophysiology of diseases involving the vestibular system and outlines the important features in the patient's history, examination, and laboratory evaluation that determine the probable site of lesion. Expand
Efficacy of Treatments for Posterior Canal Benign Paroxysmal Positional Vertigo
TLDR
This study performed to determine the relative effectiveness of several passive head maneuvers for treating benign paroxysmal positional vertigo. Expand
ENG Examination Technique
TLDR
The technique of performing the basic clinical electronystagnography (ENG) examination is described and each of the more commonly used of the alternative procedures will be described. Expand
The posture test.
  • C. Nylén
  • Medicine
  • Acta oto-laryngologica. Supplementum
  • 1953
Positional nystagmus; a review and future prospects.
  • C. Nylén
  • Medicine
  • The Journal of laryngology and otology
  • 1950
...
1
2
...