BPPV: repositioning manoeuvres
Evidence-based neurology checklist on bppv: repositioning manoeuvres: Epley canalith repositioning manoeuvre (CRM) The subject is sitting upright with the head turned 45° towards the affected ear The subject is then rapidly laid supine with the head hanging down 20° for 20-30 seconds The head is…
Epley canalith repositioning manoeuvre (CRM)
- The subject is sitting upright with the head turned 45° towards the affected ear
- The subject is then rapidly laid supine with the head hanging down 20° for 20-30 seconds
- The head is then turned 90° towards the unaffected side for 20 seconds.
- The head is then turned a further 90° for 20-30 seconds.
- The subject is then put back upright
Semont liberatory manoeuvre
Lampert 360° roll
Gufoni manoeuvre
Vannucchi-Asprella liberatory manoeuvre: for horizontal canal BPPV
Forced prolonged positioning
Acronym
References
- Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg 2017; 156(3_suppl):S1-S47.
- Nguyen-Huynh AT. Evidence-based practice: management of vertigo. Otolaryngol Clin North Am 2012; 45:925-940.
- Seemungal BM, Bronstein AM. A practical approach to acute vertigo. Pract Neurol 2008; 8:211-221.
- Bhattacharyya N, Baugh RF, Orvidas L, et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008; 139:S47-S81.
- De la Meilleure G, Dehaene I, Depondt M, Damman W, Crevits L, Vanhooren G. Benign paroxysmal positional vertigo of the horizontal canal. JNNP 1996; 60:68-71.
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