Supine Roll Test

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Identifier Supine_Roll_Test
Title Supine Roll Test
Creator Daniel R. Gold, DO
Affiliation (DRG) Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland
Subject Supine Roll Test
Description Supine roll test: used to test for horizontal canal (HC) BPPV. While horizontal nystagmus due to HC-BPPV is often seen with DH, the roll test will usually maximize nystagmus and vertigo with the HC variant. The patient can be guided through a self-administered supine roll test while lying on the floor or bed. Instruct the patient to lie supine with a pillow under their head (so the head is flexed 20-30o, making the HC perpendicular to the ground), then turn their head (or their whole body and head) 90o to the right/left. Assess for nystagmus and symptom provocation, and instruct the patient to return to the initial supine position before testing the opposite side. When the test is positive for horizontal canal benign paroxysmal positional vertigo, it will be either geotropic (https://collections.lib.utah.edu/details?id=1281862&q=horizontal+canal+bppv&fd=title_t%2Cdescription_t%2Csubject_t&facet_setname_s=ehsl_novel_gold) or apogeotropic (https://collections.lib.utah.edu/details?id=1281861&q=horizontal+canal+bppv&fd=title_t%2Cdescription_t%2Csubject_t&facet_setname_s=ehsl_novel_gold), and the nystagmus is more intense when beating toward the affected ear. If dizziness is provoked, allow the patient sufficient time to recover before instructing them to sit up.
Date 2022
Language eng
Format video/mp4
Type Image/MovingImage
Collection Neuro-Ophthalmology Virtual Education Library: Dan Gold Collection: https://novel.utah.edu/Gold/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6zt925p
File Name Supine_Roll_Test.mp4
Setname ehsl_novel_gold
ID 1757577
Reference URL https://collections.lib.utah.edu/ark:/87278/s6zt925p
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