Benign Paroxysmal Positional Vertigo Involving the Posterior Semicircular Canal
摘要
Benign paroxysmal positional vertigo (BPPV) involving the posterior semicircular canal is the most common version of BPPV. Symptoms are often triggered when rolling over in bed or when inclining the head backward (such as when looking up, or when reaching for an object on a high shelf). Posterior canal BPPV on a given side can be diagnosed when the Dix–Hallpike maneuver on that side reveals ipsitorsional nystagmus (and often up beat and ipsiversive nystagmus). Treatment of unilateral posterior canal BPPV can be undertaken with the Epley maneuver, Semont maneuver, or Gans maneuver. Bilateral posterior canal BPPV can be treated with the Brandt–Daroff maneuver.