Quick repositioning maneuver for horizontal semicircular canal benign paroxysmal positional vertigo

Area of Science:

• Neurology
• Otolaryngology
• Vestibular System Disorders

Background:

• Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder.
• Horizontal semicircular canal (HSC) involvement accounts for a significant proportion of BPPV cases.
• Effective and efficient treatment options for H-BPPV are crucial for patient management.

Purpose of the Study:

• To evaluate the efficacy of a novel quick repositioning maneuver for treating horizontal semicircular canal benign paroxysmal positional vertigo (H-BPPV).

Main Methods:

• Retrospective analysis of clinical data from 67 patients diagnosed with H-BPPV.
• Patients underwent a rapid 180° axial plane rotation maneuver from the affected to the contralateral side.
• Data collected between July 2009 and November 2014.

Main Results:

• Complete symptom resolution was observed in 91.0% of patients within one week post-treatment.
• Symptom resolution increased to 95.5% at the three-month follow-up.
• The maneuver was well-tolerated, with only transient nausea and occasional vomiting reported in a few patients.

Conclusions:

• The quick repositioning maneuver demonstrates high efficacy in managing H-BPPV.
• This technique offers an easy, safe, and effective alternative treatment for H-BPPV.
• The maneuver provides rapid and sustained symptom relief for patients with H-BPPV.