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BPPVCheatSheet
- 1. BPPV Cheat Sheet LEFT DIXHALLPIKE TEST Result Involved Canal Treatment Techniques Canalithiasis Treatment Techniques Cupulolithiasis Upbeating/Left Torsional Nystagmus Left Posterior Left Canalith Repositioning Technique (CRT) Liberatory/Semont Maneuver Downbeating/Left Torsional Nystagmus Left Anterior 1) Deep Head Hanging Maneuver 2) Left CRT Liberatory/Semont Maneuver Downbeating/Right Torsional Nystagmus Right Anterior 1) Deep Head Hanging Maneuver 2) Right CRT Liberatory/Semont Maneuver Lateral Nystagmus Suspect Horizontal Canal Perform Roll Test RIGHT DIXHALLPIKE TEST Result Involved Canal Treatment Techniques Canalithiasis Treatment Techniques Cupulolithiasis Upbeating/Right Torsional Nystagmus Right Posterior Right Canalith Repositioning Technique (CRT) Liberatory/Semont Maneuver Downbeating/Left Torsional Nystagmus Left Anterior 3) Deep Head Hanging Maneuver 4) Left CRT Liberatory/Semont Maneuver Downbeating/Right Torsional Nystagmus Right Anterior 3) Deep Head Hanging Maneuver 4) Right CRT Liberatory/Semont Maneuver Lateral Nystagmus Suspect Horizontal Canal Perform Roll Test
- 2. ROLL TEST Result Involved Canal Treatment Techniques Canalithiasis Treatment Techniques Cupulolithiasis Geotropic Nystagmus Side of more robust nystagmus/greater symptoms 1) BBQ roll (slow) 2) Appiani Maneuver 3) Forced prolonged positioning Apogeotropic Nystagmus Side of more robust nystagmus/greater symptoms 1) BBQ Roll (fast) 2) Casani Maneuver *For anterior/posterior canal BPPVs, can have patient perform BrandtDaroff exercises *There may be a latency up to 40 seconds before nystagmus is observed during testing