Related Experiment Video
Updated: Apr 17, 2026

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
Treatment of horizontal canal BPPV: pathophysiology, available maneuvers, and recommended treatment
Yahav Oron1, Smadar Cohen-Atsmoni1, Assaf Len1
1Department of Otolaryngology-Head and Neck Surgery and Tel-Aviv University Sackler School of Medicine, The Edith Wolfson Medical Center, Holon, Israel.
Objectives/Hypothesis:
To describe the pathophysiology of horizontal canal benign paroxysmal positional vertigo, the available maneuvers for its management, and the recommended treatment.
Data Sources:
PubMed, Cochrane library.
Review Methods:
Review of the available literature.
Results:
Two theories of pathophysiology underlying the disease are described, along with available maneuvers reflecting those theories; and videos of the maneuvers are provided. A comparison of available treatments is made.
Conclusion:
A variety of maneuvers is available related to the pathophysiology underlying the disease. The treatment chosen should be appropriate to the patients' ages, general conditions, and other diseases they may have. No treatment was found to be superior over the others regarding the success rate. In the case of geotropic nystagmus, the Gufoni maneuver is superior in its ease of performance. When it comes to apogeotropic nystagmus, the Barbecue and Gufoni maneuvers have comparable success rates.
Related Concept Videos
Equilibrium and Balance
The Vestibular System
Pathophysiology of Vomiting
Open Angle Glaucoma: Treatment
Drugs such as carbonic anhydrase inhibitors, α2- and...
Indirect Motor Pathways
The vestibulospinal tract originates in the vestibular nuclei of the brainstem. The vestibular system detects changes in...
Parkinson's Disease: Treatment
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...

