Canalith Repositioning Maneuvers for h-BPPV. Comparison of 3 Maneuvers

Horizontal canal BPPV is not so common as posterior canal BPPV, but it may cause more severe symptoms and prolonged duration.

We had the last year in our office370 patients with BPPV. 90 of them suffered from h-BPPV. 15 of them after were treated for p-BPPV. Most of them were women and were diagnosed after the supine roll test. We used Gufoni, Vannnuchi-Asprella and Barbecue roll test. In order to have more precise results we used the methods randomly, trying to have the same number of patients for each method. After the repositioning maneuvers patients were recommended to basic postural restrictions.

Overall success rates were 90 %, but the maneuvers were repeated until the patients were free of symptoms. Recurrences occurred in 30 % of patients treated with Gufoni and Vannnuchi-Asprella method and only 10 % of patients with Barbecue roll method.

All the methods are effective for the therapy of h-BPPV, whereas Barbecue roll method remains the most effective as the vertigo resolves in less sessions than the other methods and the rate of recurrence is smaller. It is therefore more difficult to applicate it in obese patients.

Publication History

Article published online:
10 June 2020