A Dictionary of Neurological Signs: H
Larner, Andrew J.
2010-10-15 00:00:00
[The Hallpike manoeuvre (Nylen–Bárány manoeuvre, positioning manoeuvre, Dix–Hallpike positioning test) is a test used in the investigation of vertigo to induce (or to modify) nystagmus by stimulating the otolith organs of the inner ear. It most usually consists of briskly tilting the patient’s head backwards to 30–45° below the horizontal (‘head hanging position’) and turning it 45° to one side or the other, thus stimulating the posterior semicircular canal. Prior to performing the manoeuvre, the examiner should warn the patient that s/he may feel ‘giddy’ or vertiginous, and to keep their eyes open throughout, since the development of nystagmus with the symptoms of vertigo is the observation of interest to the examiner.]
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[The Hallpike manoeuvre (Nylen–Bárány manoeuvre, positioning manoeuvre, Dix–Hallpike positioning test) is a test used in the investigation of vertigo to induce (or to modify) nystagmus by stimulating the otolith organs of the inner ear. It most usually consists of briskly tilting the patient’s head backwards to 30–45° below the horizontal (‘head hanging position’) and turning it 45° to one side or the other, thus stimulating the posterior semicircular canal. Prior to performing the manoeuvre, the examiner should warn the patient that s/he may feel ‘giddy’ or vertiginous, and to keep their eyes open throughout, since the development of nystagmus with the symptoms of vertigo is the observation of interest to the examiner.]
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