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Guideline Issued for Benign Paroxysmal Positional Vertigo
The canalith repositioning procedure is a safe, effective therapy for patients with posterior semicircular canal benign paroxysmal positional vertigo, according to a new guideline from the American Academy of Neurology.
The guideline, based on a review of published literature, notes that while many experts believe the Semont maneuver is as effective as the canalith repositioning procedure, it can be considered only "possibly effective." Among the other conclusions:
- Not enough evidence exists to recommend surgical interventions, medical treatments, or patient exercises.
- No maneuvers can be recommended for horizontal canal and anterior canal benign paroxysmal positional vertigo.
- There's not enough evidence to recommend postmaneuver restrictions on activity.
- Mastoid oscillation is not likely to benefit the patient.
LINK(S):
Neurology article (Free)
Summary for clinicians (Free PDF)
Video of maneuvers (Free)
Published in Physician's First Watch May 29, 2008
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