Repositioning Maneuvers for Benign Paroxysmal Positional Vertigo

摘要: There are few conditions in neurology that diagnosed with such ease and certainty as benign paroxysmal positional vertigo (BPPV). Repositioning maneuvers highly effective treating BPPV, inexpensive, easy to apply. Surgery has a very minor role the management of although medications may transiently ameliorate symptoms, they do not treat underlying process. is good evidence support treatment posterior canal BPPV Epley or Semont horizontal Gufoni BBQ roll (also known Lempert 360 log roll); weaker for head hanging least common anterior variant. Since therapeutic efficacy amongst each comparable, choice generally based on clinician preference, complexity themselves, poor response specific maneuvers, musculoskeletal considerations arthritic changes range motion cervical spine. Treating manuevers comparable far which performed. For maneuver easier perform compared roll, it requires only identify side nystagmus (regardless whether it’s geotropic apogeotropic) necessarily involved. Anterior rare short-lived, but there weak deep variety eponymous hasten recovery. The advantage can be effectively performed without knowledge involved.