title: Diagnostic value of repeated Dix-Hallpike and roll maneuvers in benign paroxysmal positional vertigo.
abstract: BACKGROUND
  Benign Paroxysmal Positional Vertigo (BPPV) is the most common peripheral vestibular disorder. The Dix-Hallpike and Roll maneuvers are used to diagnose BPPV.
  
  
  OBJECTIVE
  This study aims to investigate the diagnostic value of repeated Dix-Hallpike and Roll maneuvers in BPPV.
  
  
  METHODS
  We performed Dix-Hallpike and roll maneuvers in patients who admitted with peripheral vertigo anamnesis and met our criteria. The present study consists of 207 patients ranging in age from 16 to 70 (52.67±10.67). We conducted the same maneuvers sequentially one more time in patients with negative results. We detected patients who had negative results in first maneuver and later developed symptom and nystagmus. We evaluated post-treatment success and patient satisfaction by performing Dizziness Handicap Inventory (DHI) at first admittance and two weeks after treatment in all patients with BPPV.
  
  
  RESULTS
  Of a total of 207 patients, we diagnosed 139 in first maneuver. We diagnosed 28 more patients in sequentially performed maneuvers. The remaining 40 patients were referred to imaging. There was a significant difference between pre- and post-treatment DHI scores in patients with BPPV (p<0.001).
  
  
  CONCLUSIONS
  Performing the diagnostic maneuvers only one more time in vertigo patients in the first clinical evaluation increases the diagnosis success in BPPV. Canalith repositioning maneuvers are effective and satisfactory treatment methods in BPPV.
authors.affiliation: Medilife Beylikduzu Hospital, Department of Otolaryngology-Head and Neck Surgery, Istanbul, Turkey. Electronic address: drcenkevren@yahoo.com.
authors.forename: Cenk
authors.initials: C
authors.lastname: Evren
authors.affiliation: Medilife Beylikduzu Hospital, Department of Otolaryngology-Head and Neck Surgery, Istanbul, Turkey.
authors.forename: Nevzat
authors.initials: N
authors.lastname: Demirbilek
authors.affiliation: Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Otolaryngology-Head and Neck Surgery, Istanbul, Turkey.
authors.forename: Mustafa Suphi
authors.initials: MS
authors.lastname: Elbistanlı
authors.affiliation: Bülent Ecevit University, Faculty of Medicine, Department of Biostatistics, Zonguldak, Turkey.
authors.forename: Füruzan
authors.initials: F
authors.lastname: Köktürk
authors.affiliation: Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Otolaryngology-Head and Neck Surgery, Istanbul, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Çelik
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D065635:Benign Paroxysmal Positional Vertigo / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011187:Posture / Q000502:physiology*; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D055815:Young Adult
keywords: Dix-Hallpike maneuver; Manobra de Dix-Hallpike; Repeat; Repetição; Vertigem; Vertigo