title: New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo.
abstract: This article describes the clinical features of anterior semicircular canal benign paroxysmal positional vertigo (AC-BPPV) and a new therapeutic maneuver for its management. Our study was a retrospective review of cases from an ambulatory tertiary referral center. Thirteen patients afflicted with positional paroxysmal vertigo exhibiting brief positional down-beating nystagmus in positional tests (Dix-Hallpike and head-hanging position) were treated with a maneuver comprised of the following movements: Sequential head positioning beginning supine with head hanging 30 degrees dependent with respect to the body, then supine with head inclined 30 degrees forward, and ending sitting with head 30 degrees forward. All cases showed excellent therapeutic response to our repositioning procedure, i.e. relief of vertigo and elimination of nystagmus. The maneuver described is an option for AC-BPPV treatment.
authors.affiliation: Neuro-otology Section, Neurology Research Institute Dr, Raúl Carrea (FLENI), Montañeses 2325, C1428QK Ciudad autónoma de Buenos Aires, Argentina. yac@intramed.net
authors.forename: Dario A
authors.initials: DA
authors.lastname: Yacovino
authors.forename: Timothy C
authors.initials: TC
authors.lastname: Hain
authors.forename: Francisco
authors.initials: F
authors.lastname: Gualtieri
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002986:Clinical Trials as Topic; D004185:Disability Evaluation; D005260:Female; D019416:Head Movements; D006801:Humans; D008297:Male; D008875:Middle Aged; D011187:Posture / Q000502:physiology*; D012189:Retrospective Studies; D012665:Semicircular Canals / Q000503:physiopathology*; D016896:Treatment Outcome; D014717:Vertigo / Q000503:physiopathology / Q000628:therapy*; D014724:Vestibular Function Tests / Q000379:methods