ABSTRACT
To review the outcome of the Dix-Hallpike maneuver (DHM) and the brief head turn maneuver (BHTM) in patients who had typical history of benign paroxysmal positional vertigo (BPPV). Methods Sixty patients who presented with typical history of BPPV from December 2003- November 2004 were retrospective review. All patients were tested with the DHM and/or the BHTM and were divided into 2 groups, according to positive or negative test result. Analysis the data was done using Statistical package for Social Science (SPSS) version 11. Results The age of the patients ranged from 24-69 years with men to women ratio of 1: 1.7. The onset of symptom prior to treatment varied from 1 hour- to 3.5 years. The range of duration of vertigo in each episode was 1 seconds to 5 minutes. There is no statistical significant difference between positive and negative groups in all of the above parameters. Twenty-eight percent (17 cases) of the patients showed positive test. Eight and five cases had positive only in the DHM or the BHTM respectively. Four cases had positive in both tests. Conclusions Patients who had typical history of BPPV should be evaluated with both DHM and BHTM to localized the affected ear and clearify the underlying pathology. With positive result, specific treatment can be performed. Chiang Mai Med Bull 2005;44(3):101-106.