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. 2009 Sep-Oct;75(5):650-3.
doi: 10.1016/s1808-8694(15)30512-7.

Number of maneuvers need to get a negative Dix-Hallpike test

Nathali Singaretti Moreno, Ana Paula do Rego André

Number of maneuvers need to get a negative Dix-Hallpike test

Nathali Singaretti Moreno et al. Braz J Otorhinolaryngol. 2009 Sep-Oct.

Abstract

Benign Paroxysmal Positional Vertigo is one of the most common causes of dizziness. Its characteristic clinical profile is dizziness at head movements. The main diagnostic maneuver of posterior canal Benign Paroxysmal Positional Vertigo is the Dix-Hallpike test. If the maneuver is positive (vertigo and/or nystagmus), the physician can perform the Epley maneuver on the injured side.

Aim: This paper aims at checking the number of maneuvers necessary for patients with posterior canal Benign Paroxysmal Positional Vertigo to have a negative Dix-Hallpike test.

Materials and methods: we carried out a retrospective analysis of 71 charts of patients with posterior canal Benign Paroxysmal Positional Vertigo, who were treated with the modified Epley maneuver.

Study design: Cross-Sectional Retrospective.

Results: We found that 76.00% of the patients analyzed had the symptoms completely resolved and negative Dix-Hallpike test with a single maneuver.

Conclusion: Based on our results it is possible to conclude that the number of modified Epley maneuvers is variable depending on the etiology, being that the Benign Paroxysmal Positional Vertigo secondary to the traumatic brain injury needed a greater number of maneuvers for Dix-Hallpike test to become negative.

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References

    1. Ganança MM, Caovilla HH, Munhoz MSL, Silva MLG, Ganança FF. Xeque-mate nas tonturas. I-A VPPB em xeque. Acta Awho. 1997;16(3):129–137.
    1. Ganança MM, Caovilla HH, Munhoz MSL, Silva MLG, Ganança FF, Ganança CF. In: Equilibriometria Clínica. Caovilla HH, Ganança MM, Munhoz MSL, Silva MLG, editors. Atheneu; Rio de Janeiro: 2000. A Hodologia Clínica do Sistema Vestibular; pp. 5–21.
    1. Guzman PV, Zeigelbom BS, Hassan SE, Frazza MM, Diniz J, Caovilla HH. A manobra de Brandt & Daroff modificada na reabilitação da vertigem postural. Acta Awho. 2000;19(4):189–192.
    1. Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology. 1987;37(3):371–378. - PubMed
    1. Hilton M, Pinder D. The Epley manoeuvre for benign paroxysmal positional vertigo-a systematic review. Clin Otolaryngol allied Sci. 2002;27(6):440–445. - PubMed