![]() The Dix-Hallpike test and the canalith repositioning maneuver. Evidence-based clinical practice in otolaryngology. (2018.) Chapter 1 - Evidence-based practice: Management of acute vertigo. Benign paroxysmal positioning vertigo (BPPV). You can learn more about how we ensure our content is accurate and current by reading our editorial policy. ![]() Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. ![]() The exercises used will be different depending on where in the ear the crystals have become dislodged, such as the posterior canal or the lateral canal. In some cases, you may need to ask for a second opinion and do the maneuver again before being tested for other conditions. Special maneuvers can be performed to move the crystals back into place or help your brain get used to the sensations that vertigo produces. Since false negatives do happen, a negative result in a clinical setting doesn’t conclusively mean that BPPV isn’t what’s causing your vertigo. Medical literature suggests that if a specialist or someone deeply familiar with the test performs it, you’ll more likely receive an accurate result. The ability of the Dix-Hallpike maneuver to correctly diagnose people with BPPV is anywhere from 48 to 88 percent. If you get a negative test, your doctor may recommend more tests to check for other causes of your BPPV. It’s also possible to receive a false negative, in which case you may need to see a specialist and repeat the test again. inflammation of the nerves inside your ear (called vestibular neuritis).If your Dix-Hallpike test is negative, it’s possible that there is another cause for your vertigo symptoms, such as: These movements can dislodge canaliths and move them into a part of your ear where they’ll stop triggering vertigo. The Epley maneuver consists of a series of slow movements of your head and neck. The treatment for this condition starts with something called the Epley maneuver, which can sometimes be performed during the same appointment as the Dix-Hallpike test. If the doctor notes that your vertigo is triggered by the maneuver, it’s likely that you have BPPV affecting your posterior ear canal on the right, left, or both sides. Depending on those results, they may be able to come up with a treatment plan immediately. After you perform the Dix-Hallpike test, a doctor can typically give you the results of what they observed right away.
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