ConclusionsĪ diagnosis of BPPV can be made through clinical history along with diagnostic maneuvers. Options for operative intervention are available for intractable cases or patients with severe and frequent recurrences. Of these, the particle repositioning maneuver is an effective way to treat posterior canal BPPV, the most common variant. Understanding the pathophysiology of both canalithiasis and cupulolithiasis has allowed for the development of various repositioning techniques. The diagnosis can be established with a Dix-Hallpike maneuver for the posterior and anterior canals, or supine roll test for the horizontal canal, and typically does not require additional ancillary testing. While often self-limited, BPPV can have a considerable impact on quality of life. ResultsīPPV is typified by sudden, brief episodes of vertigo precipitated by specific head movements. MethodsĪ comprehensive review of the literature regarding BPPV up through June 2018 was performed. The pathophysiology, diagnosis, nonsurgical, and surgical management are discussed. This article aims to summarize research findings and key discoveries of BPPV.
Sleep with two or more pillows to tilt your head to a 45-degree angle.Moving or lying down too quickly, or tilting your head back and forth may dislodge the crystals and symptoms may reappear. Avoid movements that could dislodge the crystals in the ear.Your doctor will outline specific instructions after the Epley Maneuver. Repeat the process as many as three times until your dizziness subsides.Roll you on the affected side so the side where you are experiencing the worst vertigo - is facing upward and holds it in position for up to two minutes.Move your head in the other direction until it is 30 degrees away from the table and hold you in place for up to two minutes or until dizziness stops.Your doctor will hold your head in this position for up to two minutes or until your dizziness subsides.Your head will be positioned at a 30-degree angle and lifted slightly off the table. Position your head to face the affected side of your body.Forcefully push you back to the table so that your shoulder blades touch the table.Instruct you to extend your legs out in front of you, while you sit on an exam table.What to expect during the Epley maneuverĭuring the Epley maneuver, your doctor will perform the following steps: The Epley Maneuver is a generally safe procedure with few or no risks. Once you have seen the Epley maneuver performed by a doctor, you can perform it at home to relieve your symptoms. Generally, the Epley maneuver is not recommended for patients who have vertigo from other conditions, such as migraines, ear infections, anemia, or a cerebellar stroke. Your doctor may perform the Epley maneuver to help patients who are experiencing dizziness and nausea associated with BPPV. Most people experience long-term and short-term symptom relief from the therapy.
BENIGN PAROXYSMAL POSITIONAL VERTIGO EPLEY MANEUVER SERIES
An Epley maneuver is a series of movements used to relieve symptoms of BPPV.ĭuring the Epley maneuver, your doctor will use movements to reposition crystals in your ear that may be causing dizziness and nausea.