Practical approach for lateral canal benign paroxysmal positional vertigo.

Area of Science:

• Neurology
• Otolaryngology
• Vestibular System Disorders

Background:

• Benign paroxysmal positional vertigo (BPPV) affecting the lateral semicircular canal is common.
• Existing repositioning maneuvers for lateral canal BPPV have debated efficacy.
• Both apogeotropic and geotropic variants require effective treatment strategies.

Purpose of the Study:

• To present the Zuma maneuver as a practical treatment for lateral semicircular canal BPPV.
• To discuss the maneuver's applicability to different BPPV variants and locations of otoliths.

Main Methods:

• The Zuma maneuver, a specific repositioning technique, is described.
• The approach is discussed in the context of treating canalithiasis and cupulolithiasis.

Main Results:

• The Zuma maneuver demonstrates potential utility in a single treatment session.
• It may address canalithiasis in both ampullary and non-ampullary arms.
• It may also treat cupulolithiasis with otoliths located within the canal or on the utricular side.

Conclusions:

• The Zuma maneuver provides a potentially effective and practical solution for lateral canal BPPV.
• This technique may offer a comprehensive treatment option for diverse presentations of lateral canal BPPV.