![]() ![]() No patients converted to horizontal canal benign paroxysmal positional vertigo. In the Epley maneuver group, 20 of 22 patients (91%) had long-term success (defined as a negative Dix-Hallpike result and a Dizziness Handicap Inventory score of 0) compared with 10 of 22 patients (46%) in the sham treatment group ( P =. Patients were retested at one, three, six, and 12 months, at which time they also completed the Dizziness Handicap Inventory. Use this video to guide you through the epley maneuver at home This is a great technique to use for benign paroxysmal positional vertigo. Patients were asked to sleep semi-upright and to avoid sleeping on the affected side for the next two nights. Occasionally such symptoms are caused by compression of the vertebral arteries (Sakaguchi et al, 2003), and if one persists for a long time, a stroke could occur. The Dix-Hallpike test was repeated and the maneuver (sham or Epley) was repeated up to two more times if the test result was still positive. When performing the Epley maneuver, caution is advised should neurological symptoms (for example, weakness, numbness, visual changes other than vertigo) occur. The patients were randomly assigned (concealed allocation unknown) to receive the Epley maneuver without premedication or a sham procedure of moving the head around.
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