![]() ![]() At that point, the maneuver did not provoke nystagmus and vertigo, demonstrating that the Epley maneuver had been successful in moving the otoconia out of the right posterior canal. The patient was then treated with an Epley maneuver (see for an example), and was later rechecked with the right Dix-Hallpike maneuver. When the patient was moved into the right Dix-Hallpike maneuver, after a brief latency, upbeat-torsional (towards the lowermost or affected ear) nystagmus was seen. □□□□□□□□ □□□□□□□□□□□: This is a patient with typical right posterior canal benign paroxysmal positional vertigo (BPPV), which was provoked by the Dix-Hallpike maneuver. (DRG) Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland (DN) University of Siena, Siena, Italy (MM) Otology and Skull Base Unit Azienda Ospedaliera Universitaria Senese, Siena, ItalyīPPV Posterior BPPV Diagnosis BPPV Treatment Jerk Nystagmus Vestibular Nystagmus Gold, DO Daniele Nuti Marco Mandal, MD, PhD Video 6.22 Posterior canal BPPV-nystagmus provoked by the Dix-Hallpike maneuver from Neuro-Ophthalmology and Neuro-Otology Textbookĭaniel R. Posterior Canal BPPV Pre- and Post-Epley Maneuver ![]()
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