Benign paroxysmal positional vertigo: Difference between revisions
(Created page with "==Diagnosis== -first decide which ear affected- do Dix Hallpike test w head rotated to R and neck hyperextended and head hanging off bed- if get R sided nystagmus then R ear af...") |
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L Ear Affected | |||
- place pt recumbant w head turned to | - place pt recumbant w head turned to left, head hanging off of bed and chin pointing up and wait for sxs to stop | ||
- then rotate head and body until | - then rotate head and body until R ear down | ||
- then rotate further until face down | - then rotate further until face down | ||
| Line 23: | Line 23: | ||
- keep face down for 15 sec | - keep face down for 15 sec | ||
- bring pt back to seated position with head turned to | - bring pt back to seated position with head turned to R | ||
- now keep chin down | - now keep chin down | ||
Revision as of 06:05, 15 August 2011
Diagnosis
-first decide which ear affected- do Dix Hallpike test w head rotated to R and neck hyperextended and head hanging off bed- if get R sided nystagmus then R ear affected
- once decide which ear affected- do bedside manuever on that ear
Treatment
L Ear Affected
- place pt recumbant w head turned to left, head hanging off of bed and chin pointing up and wait for sxs to stop
- then rotate head and body until R ear down
- then rotate further until face down
- vertex of head kept down throughout rotation
- keep face down for 15 sec
- bring pt back to seated position with head turned to R
- now keep chin down