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Updated: Aug 9, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Short-term efficacy of Epley's manoeuvre: a double-blind randomised trial
M von Brevern1, T Seelig, A Radtke
1Department of Neurology, Charité, Campus Virchow-Klinkum, Berlin, Germany. michael.von_brevern@charite.de
Background:
Benign paroxysmal positional vertigo of the posterior canal (PC-BPPV) is a common vestibular disorder and can be easily treated with Epley's manoeuvre. Thus far, the short-term efficacy of Epley's manoeuvre for treatment of PC-BPPV is unknown.
Objectives:
To evaluate the efficacy of Epley's manoeuvre for treatment of PC-BPPV 24 h after applying the manoeuvre.
Methods:
The short-term efficacy of Epley's manoeuvre was compared with a sham procedure in 66 patients with PC-BPPV by using a double-blind randomised study design.
Results:
24 h after treatment, 28 of 35 (80%) patients in the Epley's manoeuvre group had neither vertigo nor nystagmus on positional testing compared with 3 of 31 (10%) patients in the sham group (p<0.001).
Conclusion:
Epley's manoeuvre is shown to resolve PC-BPPV both effectively and rapidly.
