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New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo

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Abstract

This article describes the clinical features of anterior semicircular canal benign paroxysmal positional vertigo (AC-BPPV) and a new therapeutic maneuver for its management. Our study was a retrospective review of cases from an ambulatory tertiary referral center. Thirteen patients afflicted with positional paroxysmal vertigo exhibiting brief positional down-beating nystagmus in positional tests (Dix–Hallpike and head-hanging position) were treated with a maneuver comprised of the following movements: Sequential head positioning beginning supine with head hanging 30° dependent with respect to the body, then supine with head inclined 30° forward, and ending sitting with head 30° forward. All cases showed excellent therapeutic response to our repositioning procedure, i.e. relief of vertigo and elimination of nystagmus. The maneuver described is an option for AC-BPPV treatment.

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Correspondence to Dario A. Yacovino.

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Yacovino, D.A., Hain, T.C. & Gualtieri, F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 256, 1851–1855 (2009). https://doi.org/10.1007/s00415-009-5208-1

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  • DOI: https://doi.org/10.1007/s00415-009-5208-1

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