The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Immediate efficacy of Gufoni maneuver for horizontal canal benign paroxysmal positional vertigo (HC-BPPV): a meta-analysis. Akuter Schwindel in der Hausarztpraxis (S3-Leitlinie, in Überarbeitung). Otol Neurotol 2018 39(6): 671-679.ĭeutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM). The Necessity for Post-Maneuver Restrictions in the Treatment of Benign Paroxysmal Positional Vertigo: An Updated Meta-Analysis of the Literature. ![]() Otolaryngol Head Neck Surg 2017 156(3_suppl): S1-S47.Ĭromwell C, Tyler J, Nobbs R et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Repositioning maneuvers aren’t suitable for some people – for instance, those who can’t move the neck region of their spine freely.īhattacharyya N, Gubbels SP, Schwartz SR et al. But the movements can lead to nausea or vomiting, similar to during an episode of vertigo. This treatment doesn't have many side effects. There are also slightly different versions that you can do on your own at home. The sequence of movements is usually repeated several times with the help of a doctor. ![]() If there are crystals in the posterior semicircular canal, the Epley maneuver and the Semont maneuver are two very simple and effective treatment options. The vestibular system has three semicircular canals in it. The aim of following a certain order of head and body movements is to move the loose crystals to a position where they no longer cause dizzy spells. ![]() In BPPV, the vertigo is caused by loose calcium deposits (crystals or “ear rocks”) in the organ of balance (vestibular system) inside our ear. To do a repositioning maneuver, the doctor shows you how to get into various sitting and lying positions while holding your head at certain angles.
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