The Hall-Pike Maneuver is a cervical spine examination procedure that assesses for vertebrobasilar ischaemia (VBI).
Patient should be awake and cooperative while the Hall-Pike Maneuver is being performed.
- Patient lies down on the examination table but her head will be at the edge of the table.
- The examiner supports the patient’s head and passively extends the head and rotates it from side to side.
- The examiner takes note of any complaints of vertigo, nystagmus, syncope, visual changes or nausea.
Positive Hall-Pike Maneuver
There is positive Hall-Pike Maneuver when the patient exhibits signs like syncope, nystagmus, vertigo, visual changes and/or nausea. These signs indicate vertebroabasilar ischaemia (VBI).
The Hall-Pike Maneuver can be used as a screening procedure before cervical manipulation. During this procedure, the patient’s eyes should be open to observe for nystagmus.