Exam

McClure-Pagnini Test

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McClure-Pagnini Test, Supine roll test

  • See Also
  1. HiNTs Exam
  2. Horizontal Head Impulse Test
  3. Nystagmus
  4. Skew Deviation
  5. Vertigo
  6. Vertigo Causes
  7. STANDING Algorithm for Acute Vertigo
  8. Dix-Hallpike Maneuver
  9. Peripheral Causes of Vertigo
  10. Central Causes of Vertigo
  11. Vertigo Management
  12. Meniere's Disease
  13. Motion Sickness
  14. Vestibular Neuronitis
  15. Benign Paroxysmal Positional Vertigo
  16. Perilymphatic Fistula
  17. Acute Labyrinthitis
  18. Bacterial Labyrinthitis
  19. Dizziness
  20. Dysequilibrium
  21. Syncope
  22. Light Headedness
  • Indications
  1. Vestibular Testing for Benign Paroxysmal Positional Vertigo affecting the lateral canal (horizontal canal)
    1. Vertigo evoked by position change (triggered Vertigo)
    2. No symptoms at rest
  • Contraindications
  1. Elderly with significant carotid vascular disease
  2. Unstable spinal disorder
  3. Acute vesitibular syndrome (non-triggered Vertigo)
  • Mechanism
  1. Tests in horizontal plane for lateral canal (horizontal canal) BPPV
  • Technique
  1. Positioning
    1. Patient lies supine on exam table
    2. Clinician stands at patient's head
  2. Maneuver
    1. Patient's head is turned 90 degrees first to one side and then to the other
    2. Observe for Nystagmus AND its direction for one minute after each head turn
  • Interpretation
  • Positive Test for Horizontal Canal (Lateral Canal) BPPV
  1. Nystagmus beats TOWARD the direction of the head turn (down toward ground) on the affected side
  2. Nystagmus beats AWAY from the direction of the head turn (up toward ceiling) on the opposite side
  • Resources
  1. McClure-Pagnini Test (Youtube)
    1. https://www.youtube.com/watch?v=1uJ2R1ZuW_U