Tests for VA Insufficiency

Question 1

Patient seated, examiner instructs the patient to rotate the head maximally from side to side. Done slowly at first then accelerated to patient tolerance

Answer 1

Barre-Lieu

Question 2

Patient supine the examiner instructs the patient to rotate and extend the head off the table then tun to each side for 15-45 seconds. Dr can lend minimal support

Answer 2

DeKleyn’s

Question 3

An enhanced DeKleyn’s. Patient supine head extend off the table, examiner offers support for the skull then brings head into extension rotation and lateral flexion

Answer 3

Hallpike

Question 4

Patient seated, arms are extended forward to shoulder level with hands supinated, maintain position for a few seconds, patient then closes the eyes, rotates and hyperextends the neck to one side, repeated to opposite side

Answer 4

Hauntant’s

Question 5

Patient stands with eyes open, arms at side, feet close together, patient closes eyes, extends arms and supinates hands, the patient extends and rotates head to one side then in this position patient is instructed to march in place

Answer 5

Underberg

Question 6

Patient is seated, examiner brings head into extension and rotation

Answer 6

Maigne’s