BPPV OCULAR FINDINGS

Below is a collection of videos demonstrating positive tests for BPPV.

BPPV Collection

Click on the boxes below to access videos of the positive tests.

Right Dix-Hallpike Test

Left Dix-Hallpike Test

Right Roll Test

Left Roll Test

Bow & Lean Test

Looking for a resource to guide you how to perform oculomotor tests to help rule in central and peripheral vestibular disorders?

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Right Dix-Hallpike Test

Below are videos of seven different patients whose right Dix-Hallpike test was positive. Note: Unsustained refers to nystagmus lasting less than a minute and is typical of canalithiasis. Geotropic nystagmus refers to nystagmus beating towards the ground.

Patient 1: Unsustained upbeat, right torsional nystagmus

Patient 2: Unsustained upbeat, right torsional nystagmus

Patient 3: Unsustained upbeat, right torsional nystagmus

Patient 4: Unsustained upbeat, right torsional nystagmus

Patient 5: Unsustained right beat (geotropic) nystagmus

Patient 6: Unsustained upbeat, right torsional nystagmus

Patient 7 part A: Unsustained upbeat, right torsional nystagmus

Patient 7 part B: Repeat right Dix-Hallpike testing after canalith repositioning technique demonstrates canal conversion as there is now unsustained right beat (geotropic) nystagmus

Left Dix-Hallpike Test

Below are videos of eight different patients whose left Dix-Hallpike test was positive. Note: Unsustained refers to nystagmus lasting less than a minute and is typical of canalithiasis. Geotropic nystagmus refers to nystagmus beating towards the ground.

Patient 1: Unsustained upbeat, left torsional nystagmus

Patient 2: Unsustained upbeat, left torsional nystagmus

Patient 3: Unsustained upbeat, left torsional nystagmus

Patient 4: Unsustained upbeat, left torsional nystagmus

Patient 5: Unsustained left beat (geotropic) nystagmus

Patient 6: Unsustained upbeat, left torsional nystagmus

Patient 7: Unsustained upbeat, left torsional nystagmus

Patient 8: Unsustained left beat (geotropic) nystagmus

Sometimes seeing the torsional or vertical component of the nystagmus can be a challenge when performing the right and left Dix-Hallpike. There is a trick, however, to tease out both the torsional and vertical component of the nystagmus.

CLICK HERE TO LEARN MORE

Right Roll Test

Below are videos of four different patients whose right Roll test was positive. Note: Unsustained refers to nystagmus lasting less than a minute and is typical of canalithiasis. Geotropic nystagmus refers to nystagmus beating towards the ground.

Patient 1: Unsustained right beat (geotropic) nystagmus

Patient 2: Unsustained right beat (geotropic) nystagmus

Patient 3: Unsustained right beat (geotropic) nystagmus

Patient 4: Unsustained right beat (geotropic) nystagmus

Left Roll Test

Below are videos of four different patients whose left Roll test was positive. Note: Unsustained refers to nystagmus lasting less than a minute and is typical of canalithiasis. Geotropic nystagmus refers to nystagmus beating towards the ground.

Patient 1: Unsustained left beat (geotropic) nystagmus

Patient 2: Unsustained left beat (geotropic) nystagmus

Patient 3: Unsustained left beat (geotropic) nystagmus

Patient 4: Unsustained left beat (geotropic) nystagmus

Bow & Lean Test

Positive test for left lateral canalithiasis
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