number of maneuvers need to get a negative dix-hallpike test número de manobras necessárias para a negativação do teste de dix-hallpike

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ID: 230871
2009
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Abstract
Benign Paroxysmal Positional Vertigo is one of the most common causes of dizziness. Its characteristic clinical profile is dizziness at head movements. The main diagnostic maneuver of posterior canal Benign Paroxysmal Positional Vertigo is the Dix-Hallpike test. If the maneuver is positive (vertigo and/or nystagmus), the physician can perform the Epley maneuver on the injured side. AIM: This paper aims at checking the number of maneuvers necessary for patients with posterior canal Benign Paroxysmal Positional Vertigo to have a negative Dix-Hallpike test. MATERIALS AND METHODS: we carried out a retrospective analysis of 71 charts of patients with posterior canal Benign Paroxysmal Positional Vertigo, who were treated with the modified Epley maneuver. STUDY DESIGN: Cross-Sectional Retrospective. RESULTS: We found that 76.00% of the patients analyzed had the symptoms completely resolved and negative Dix-Hallpike test with a single maneuver. CONCLUSION: Based on our results it is possible to conclude that the number of modified Epley maneuvers is variable depending on the etiology, being that the Benign Paroxysmal Positional Vertigo secondary to the traumatic brain injury needed a greater number of maneuvers for Dix-Hallpike test to become negative.
A Vertigem Postural Paroxística Benigna é uma das causas mais comuns de tontura. Seu quadro clínico característico é tontura ao movimentar a cabeça. A principal manobra diagnóstica da Vertigem Postural Paroxística Benigna de canal posterior é o teste de Dix-Hallpike. Se a manobra for positiva (presença de vertigem e/ou nistagmo), indica-se realizar a manobra de reposicionamento de Epley do lado acometido OBJETIVO: Este trabalho tem como objetivo verificar o número de manobras necessárias para a negativação do teste de Dix-Hallpike em pacientes com Vertigem Postural Paroxística Benigna de canal posterior. MATERIAL E MÉTODO: Foi realizado uma análise retrospectiva de 71 prontuários de pacientes com Vertigem Postural Paroxística Benigna de canal posterior, os quais foram tratados com a manobra modificada de Epley. FORMA DE ESTUDO: Retrospectivo Transversal. RESULTADOS: Foi observado que 76,00% dos pacientes analisados tiveram resolução completa dos sintomas e negativação do teste de Dix-Hallpike com apenas uma manobra. CONCLUSÃO: Diante destes resultados, podemos concluir que o número de manobras modificadas de Epley é variável de acordo com a etiologia, sendo que a Vertigem Postural Paroxística Benigna secundária ao traumatismo cranioencefálico necessitou de maior número de manobras para a negativação do teste de Dix-Hallpike.
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Authors ;Nathali Singaretti Moreno;Ana Paula do Rego André
Journal cardiovascular diabetology
Year 2009
DOI
10.1590/S1808-86942009000500006
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942009000500006
Keywords
rehabilitation dizziness

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