American Academy of Family Physicians – Dizziness Depot

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A Very Modified Dix-Hallpike

January 8, 2017January 11, 2017Alan Desmond Audiology / Benign Paroxysmal Positional Vertigo / BPPV / BPPV Guidelines / Epley / Eply Manuever

BPPV (Benign Paroxysmal Positional Vertigo) is the most common cause of vertigo and dizziness complaints. It is generally easily treated once identified, as long as it happens to affect the posterior canal. In fact, it seems that many people are self diagnosing and going to the internet for home treatment instructions. Many physicians are…

false negative bppv

False Negative Dix-Hallpike for BPPV

May 25, 2016March 9, 2019Alan Desmond 1 Comment Audiology / BPPV / BPPV Guidelines

Is it Possible to Get a False Negative Dix-Hallpike for BPPV? This is a subject I have covered before, but two recent studies call for a little review. I have been preaching for years that a negative Dix-Hallpike exam does not rule out BPPV. In a patient with an otherwise normal exam and symptoms suggestive…