Benign Paroxysmal Positional Vertigo

Published: March 2017
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  • Key Points 
  • Tables 
    • Definitions
    • Key Action Statements
    • Basic Differential Diagnosis
    • Common Causes of Acute Dizziness
    • Selected Methods to Determine the Affected Ear in Lateral Canal BPPV
    • Stepwise Sequence for the Performance of The Canalith Repositioning Maneuver
    • Stepwise description of the performance of the Semont Liberatory maneuver
    • Stepwise Description of the performance of the Lempert 360° roll maneuver
    • Gufoni maneuver 
  • Figures 
    • Diagrammatic representation of performance of the Dix-Hallpike maneuver
    • Diagrammatic views of the supine roll test
    • Depiction of the canalith repositioning maneuver
    • Semont Liberatory maneuver
    • The Lempert 360° roll maneuver
    • Gufoni maneuver
    • Management algorithm
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The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) is the world's largest organization representing specialists who treat the ear, nose, throat, and related structures of the head and neck. The Academy represents approximately 12,000 otolaryngologist-head and neck surgeons who diagnose and treat disorders of those areas. The medical disorders treated by our physicians are among the most common that afflict all Americans, young and old. They include chronic ear infection, sinusitis, snoring and sleep apnea, hearing loss, allergies and hay fever, swallowing disorders, nosebleeds, hoarseness, dizziness, and head and neck cancer.


This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.


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