Benign paroxysmal positional vertigo: A case report in which four wrongs made a right

Lisa Young; Shervin Badihian; David S Zee; David E Newman-Toker; Kevin A Kerber; Anita Bhandari; Rajneesh Bhandari

doi:10.1002/ccr3.9529

Benign paroxysmal positional vertigo: A case report in which four wrongs made a right

Clin Case Rep. 2024 Nov 5;12(11):e9529. doi: 10.1002/ccr3.9529. eCollection 2024 Nov.

Authors

Lisa Young¹, Shervin Badihian², David S Zee^{1

3}, David E Newman-Toker^{1

3}, Kevin A Kerber⁴, Anita Bhandari⁵, Rajneesh Bhandari⁶

Affiliations

¹ Department of Neurology Johns Hopkins University School of Medicine Baltimore Maryland USA.
² Neurological Institute Cleveland Clinic Cleveland Ohio USA.
³ Department of Otolaryngology-Head and Neck Surgery and Ophthalmology Johns Hopkins University School of Medicine Baltimore Maryland USA.
⁴ Department of Neurology Ohio State University Columbus Ohio USA.
⁵ Vertigo and Ear Clinic Jaipur India.
⁶ NeuroEquilibrium Diagnostic Systems Pvt Ltd. Jaipur India.

Abstract

Repositioning maneuvers for benign paroxysmal positional vertigo (BPPV) designed to induce otoconial movement in one canal can trigger and sometimes unwittingly treat BPPV in other canals. Patients with BPPV are best managed by precisely diagnosing the canal variant and using correctly performed, standardized testing and treatment maneuvers.

Keywords: BPPV; Epley maneuver; lateral canal; positional nystagmus; positional vertigo.