Dix-Hallpike & Epley Maneuver Test

by Carlo Raj, MD

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      Slides 11 VertigoDizziness Neuropathology II.pdf
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    Here, we have vestibular neuronitis. An acute unilateral peripheral vestibulopathy. No evidence of inflammation. Sudden or spontaneous vertigo associated with nausea and vomiting. Symptoms will peak within 24 hours. Resolves over days or weeks. And unilateral nystagmus may be seen. It can be suppressed by visual fixation. That’s the clinical pearl here. It can be suppressed by actual visual fixation. This is known as your vestibular neuronitis. What is labyrinthine concussion? It’s a head injury in which maybe perhaps there was or wasn’t a skull fracture. Maybe associated with hearing loss and tinnitus. Infarction: If there’s a problem with the vertebrobasilar system including your posterior inferior cerebellar artery, anterior inferior cerebellar artery, or maybe perhaps even your spinal cerebral artery. Associated with brainstem signs including cranial nerve, and we have weakness, ataxia. The central-type nystagmus: Pure vertical or pure horizontal, may be bilateral. Are not suppressed by visual fixation. That’s important for you to pay attention to here once again. Not suppressed by visual fixation. This is the central type of nystagmus. What is Ménière's disease? Episodic vertigo with nausea and vomiting. Fluctuating, but progressive hearing loss. Tinnitus and sensation of fullness in the ear, your clinical pearl here is fullness in the ear and caused by increased endolymphatic volume or perhaps pressure. Ménière's disease. Perilymphatic fistula: As the name implies, a fistula. Where? Abrupt onset of vertigo which then persists episodically. Often precedes by hearing a pop in the affected ear with sneezing, coughing, or blowing or straining. A fistula, a perilymphatic, can be treated with rest or a fat patch if refractory. Pop, perilymphatic, if that helps you. BPPV, benign positional paroxysmal vertigo. This is episodic vertigo, however, triggered by head movement. Episodes are brief, but severe. Associated with latency, finite duration and fatigue. Often associated with severe...

    About the Lecture

    The lecture Dix-Hallpike & Epley Maneuver Test by Carlo Raj, MD is from the course Vertigo and Dizziness. It contains the following chapters:

    • Vertigo
    • Dix-Hallpike/Epley Maneuver & Vertigo Pearls

    Author of lecture Dix-Hallpike & Epley Maneuver Test

     Carlo Raj, MD

    Carlo Raj, MD

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