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Human Experience with Canalith Repositioning Maneuvers
Author(s) -
EPLEY JOHN M.
Publication year - 2001
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.2001.tb03744.x
Subject(s) - benign paroxysmal positional vertigo , nystagmus , vertigo , vestibular system , medicine , semicircular canal , physical medicine and rehabilitation , audiology , surgery
A bstract : Three distinct pathological conditions, related to different means by which dense intralabyrinthine particles interfere with the function of a semicircular canal and cause nystagmus and vertigo, are amenable to treatment with repositioning maneuvers. Known as benign paroxysmal positional vertigo and variants, these conditions are better designated collectively by the term “vestibular lithiasis.” Each form requires a different treatment strategy of head maneuvers and application of other modalities to restore normal semicircular function and thereby eliminate the positional nystagmus and vertigo. Real‐time observation of the nystagmus induced by the particles during the maneuvers can greatly facilitate the repositioning process.