Yahav Oron1, Smadar Cohen-Atsmoni1, Assaf Len1, Yehudah Roth1. 1. Department of Otolaryngology-Head and Neck Surgery and Tel-Aviv University Sackler School of Medicine, The Edith Wolfson Medical Center, Holon, Israel.
Abstract
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.
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.