Maneuvers to Diagnosis and Treat Benign Paroxysmal Positional Vertigo | NEJM

[@dananas9131]

TIMECODES!! DIAGNOSTIC MANEUVERS (right side ) 0:00 - Dix-Hallpike for Posterior Canalolithias 0:52 - Supine Roll for Horizontal Canalolithiasis: Geotropic 2:02 - Supine Roll for Horizontal CUPULOlithiasis: APO-Geotropic THERAPEUTIC MANEUVERS (right side) 3:14 - Epley for Posterior Canalolithiasis 4:27 - Semont for Posterior Canalolithiasis 5:43 - Barbecue for Horizontal Canalolithiasis 6:46 - Gufoni for Horizontal Canalolithiasis (Geotropic BPPV) 7:47 - Gufoni for Horizontal CUPULOlithiasis (APO-Geotropic BPPV) I recommend everyone studying this to build their own paper model - it really clicked with me when I did it with a physical model. :-)

[@pieeatersmovie]

I found this video to be exactly what I was looking for; a how- to plus illustrations of what is happening in the canals with each manuever. I wish the canals were labelled in the sitting to supine positions. This video is a great resource for the practicing clinician who treats BPPV patients.

[@Gaiagirl85]

Wow, this is really the best overview/demonstration of Canalith repositioning maneuvers! Easy to understand. Well done!

[@lokimojo80]

THANK YOU! My BPPV came back two years ago (after having it for about 5 months, 2 years ago). My partner helped me with this video this morning and it's gone! Last time, I paid $160 to see an Ear, Nose and Throat specialist, this time, I got a free cure :D Thank you OP, I am in your debt!

[@ОлжасДолматов-ф3ф]

з

[@chuy88astek88]

which one did you have?

[@srpneurosciences9273]

Very informative audio-visual demonstration OF BPPV. In very simple language

[@YakovZeiger]

1. 0:00 Holpax Dix test Rt Post channel 2. 0:55 Supine Roll test Rt Horizontal channel Geotropic nistagmus 3. 2:00 Supine Roll test Rt Horizontal channel Apogeotropic nistagmus 4. 3:10 Epley tech for Rt Post channel Geotropic nistagmus 5. 4:27 Semont's tech for Rt Post channel Geotropic nystagmus 6. 5:45 Bar-B-Que tech for Rt Horizontal channel Geotropic nystagmus 7. 6:47 Gufoni tech for Rt Horizontal channel Geotropic nystagmus 8. 7:45 Gufoni tech for Rt Horizontal channel Apogeotropic nystagmus

[@udaykumarbr1231]

Excellent. Thank you very much NEJM !!

[@kroottoor]

After researching the 3D model of Vestibular portion(semicircular canals), I come up this procedure to treat SUPERIOR or ANTERIOR canal BPPV Vertigo. 1. lay flat(face straight up) on the bed(edge of the bed) for 1 min 2. lay head hanging(head top toward ground, face toward horizon) for 1 min 3. fast rotate whole body 180 degree, head straight, face toward ground for 1 min 4. sit up or stand up fast, face horizon.

[@tomknude5683]

Too much information to take in. This needs to be made available in printed form. Very grateful for this enlightening information.

[@surichanandan2033]

Kudos for the Video! Sorry for chiming in, I would appreciate your initial thoughts. Have you researched - Schallingora Automatically Update Scheme (do a google search)? It is a great exclusive guide for getting rid of virtigo minus the normal expense. Ive heard some extraordinary things about it and my best friend Jordan at last got astronomical success with it.

[@dananas9131]

www.nejm.org/doi/full/10.1056/NEJMcp1309481

[@EJTechandDIY]

What an amazing video, so clear and understandable for everyone, thank you.

[@danielgoodman3578]

I am not a medical person. I just know I get dizzy as all get out when laying down enough and looking up in certain ways. To me, this video is so full of jargon that I'd need to look up many of these terms to understand them to be able to better understand the video. Is there a layman's terms version of this?

[@eii4614]

It's a bad and disturbing feeling !! Thanks for the video

[@aftabahmed4020]

khusbu khushi, this appears bppv. my wife had similar condition for 6weeks.we had various medication with little improvement. my daughter who is doctor performed epley manauver. she is now completely cured.

[@DraganDangubic]

I've been studying reducing vertigo quickly and discovered an awesome resource at Vertical Fixer Method (look it up on google)

[@Momiin.]

But therez no sincere doc available anywhere who sincerely get u into the real cause of vertigo , just by giving medicine doesn't resolve any issue, which just merely dependent on physiotherapy treatment like different maneuvers for different types of bppv , luckily some people is able to get back to their life after this horrible vertigo.

[@deepikadabi2321]

Really

[@mynameismark25]

i'm 33 and have been suffering with BPPV for a month now. first few days were terrible and vomitted a couple of times doing the exercises. Sort of went away after a week of rest, but i'd still get vertigo strangely when i laughed or had a poo. It was annoying me, so i tried to do more exercises to finally get rid of it, but then triggered it all over again and i'm back where i started. doctors in the UK are useless. Right now i get vertigo when i walk, move my head up or down and when i roll over in bed. it's frustrating more than anything, because i feel healthy but just so effing dizzy.

[@jaquemath5177]

I'm so sick too

[@mynameismark25]

@@jaquemath5177 hey man, hope you’re not suffering too much.

[@justme-j9t]

​@@mynameismark25 How are you now ? are you healed?

[@mynameismark25]

@@justme-j9t So much better thanks. I feel bad for saying doctors in the UK are useless. Eventually your brain recalibrates your balance for you. I get vertigo spells in the dentist chair still and when I roll over in bed, but I just shake my head a bit and it goes away luckily. Hope you are alright.

[@binduiitg]

Hi I’m in the same situation unfortunately. I’m at my wits end about this. Please tell me if anything helped in those initial months :(

[@LastTrump7]

suppose you do this to a patient who is having vitiligo caused by Menieres? Also how can the physician tell from looking if it’s BPPV or Meneries vertigo? Is there any treatment to stop Menieres vertigo other then drugs?

[@najamartner3740]

How do You find out what kind if vertigo You have? So You know wich kind of excercises can help.

[@observingyourplanet3760]

Are the diagrams correct? At 1:33 and 8:08, the patients' heads are oriented the same, but the image of the canals seems to have a 135 degree rotational difference that I haven't been able to explain.

[@CaseyConnor]

Yes -- the mistake seems to be at 1:13, where the head is rotated 90 degrees, but the canals are not rotated the same amount. The error then propagates as the head is rotated 180 and the canals are rotated 180. I think there is a similar error later on in one of the other sections, but not as dramatic.

[@allenlee0730gmail]

Actually both diagrams are correct. The first one is the situation in canalolisthesis (free particles in the canal); the latter depicts the situation in cupulolisthesis, in which the particles initially are attached to the anterior side of the semicircular canal, and the movement makes the attached particles free.

[@CM-xs2eb]

Excellent depiction, thank you!

[@pendlehillbillies3828]

Wonderful video, provides more information & advise than most GP's would.

[@blue04mx53]

OK question. Once these crystals get moved into the utricle is there a risk that they could find their way back into the same or another semi circular canal? Or do they dissipate somehow? Also, what is the chance of recurrence?

[@gtidriver5331]

BPPV is one of the worst experiences I’ve had in my life!!!

[@rjpalumbo24]

Gti Driver I’ve been plagued with it multiple times over the past 2 years. But every time I’m able to get an appointment, it goes away. I’ve never been able to be seen when I’m having it. I wouldn’t wish this on my worst enemy ☹️

[@j-areentertainmentllc879]

@@rjpalumbo24 I'm dealing with this now and I 1000% agree

[@FRANCESCA01234]

I agree, its horrendous 🤕

[@samuraimadaan5345]

Yes it's horrible

[@PhotographywithNikhil5]

it's been happening with me for a couple of few days and it's really Horrible 😭

[@chrisjennings1384]

Thanks for sharing this information! Quick question, how does one determine which side to treat if they have horizontal canal? BPPV? When I lie down doing the supine roll test my nystagmus eye movement is from side to side beating in an upward direction towards the ceiling, on both the left and right one does seem to be more rapid than the other. If my Nystagmus seems to be worse on the right side for Example, would I then lie down on my left side OPPOSITE, doing the Gufoni maneuver? This is where I seem to get confused on which side to apply the treatment maneuver. Thanks in advance for your help.

[@rubyhernandez9800]

love the way it is explained.

[@vendivukelic7123]

I discovered this video on Dizzy fix formula - there are lots good videos there that should help you

[@lizrivas6705]

So I was reading that this maneuver is not helpful if the crystals are on the horizontal canal, it's only use for posterior canal. If it's on the horizontal canal then the log maneuver is helpful

[@edsmith6464]

Good use of 3D graphics, but when the narrator says eye movement “to the left” it seems like it should have been from a patient’s perspective (I.e. to the right). Or am I missing something?

[@Skicloud1888]

These are good videos but you would have to be treating patients regularly and often to remember all these manoeuvres. I treat these patients but I can only remember the signs of posterior canal lithiasis and the Epley manoeuvre for this. We need a chart with all these clearly demonstrated on it for reference for each patient. I would do one but I would probably get mixed up and do it wrongly!

[@vishalv6251]

I am not feeling it on right or left side but I feel dizzy on back of the head can i perform the same treatment

[@LilyOfTheAlley]

Did it stop?

[@vishalv6251]

@@LilyOfTheAlley Don’t have it anymore, It automatically cured after 2-3 weeks

[@salhiyahya8348]

merci beaucoup pour cette démonstration +++++

[@pumekeshi]

thanks, this is very well done

[@surgeryjenny]

Excellent! Thank you.

[@СветланаК-э5ъ]

Классное видео. Всё понятно. Привет из Украины!

[@金海江]

目前看到最好的关于bPPV科普

[@pradeep9779]

Good explanation. Thanks

[@TechnoWasim]

Ab apka BPPV kaise hai

[@Dr.HUERTA]

Muy didáctico, e interesante para los pacientes.

[@karinavictoriazunigaoyarzu4978]

Muy buen video !!!

[@Lexyvil]

I have this since Sunday night now... My right ear is completely blocked and I feel like the back right side of my head is swollen. It's hard typing this as it is; seeking help online... It's very annoying as I'm still always nauseated and can's stand at all.

[@bkelectricinc]

What type of Dr. does these exams?.............Ear nose throat..............General Prac..........?????

[@owen0209]

I went to numerous different general parctitioners, and finally one identified this as the problem of my dizziness. He was a general practitioner, but a very good one. If you suspect that this might the problem, you can have a friend help you. Lay back, and have a friend turn your head to one side, watching your eyes. In my case, when the doctor moved my head to the left, I felt the world spin; for him, he saw my eyes jerk to the side (watch around the 2 minute mark of this video). After doing the Epley maneuver for about two days (with my wife controlling my head), I was cured.

[@jschilb12]

Physical Therapist can also treat BPPV

[@mollynorris7276]

An audiologist can do these as well!

[@dustinhouser4336]

I am a Doctor of Chiropractic, and I have diagnosed and successfully treated several patients for vertigo.

[@robertlee5456]

Vestibular physiotherapist

[@didemceylan6544]

what is name of the maneuver in video 7?

[@khushbookhushi8225]

when i walk i feel like I'm moving.and sometimes i feel everything is spinning around me. lightheaded.dizziness.vomiting.imbalance.problem with stand and sitting..doc please tell me is this positional vertigo or anything else?

[@khushbookhushi8225]

Which are they?

[@khushbookhushi8225]

*****​ Sometimes i feel pressure on my head Can please tell me what it happens?

[@ahsaniqbal089]

+khushboo khushi if you get rid of vertigo please share the treatment

[@ahsaniqbal089]

***** how you will get away from this disease permanently ?

[@ahsaniqbal089]

***** pls try exercise with medicines, my mother have this disease but she afraid of exercise she's falling in stress :(

[@dr.m5856]

Excellent!

[@romans52345-cy3tq]

Does anyone with this disorder get the feeling they are sinking into the floor and the floor is moving when they brush their teeth or get a shower?

[@dr_ksha]

thank you!!!!!

[@rodhosarzem8950]

Bu konuşmayı türkçeye çevirebilirmisiniz veya konusşulan şeyleri metin olarak yazsanız biz çevirsek .

[@fztuygarbaylan]

Samsun ROMATEM hastanesinde Vertigo tedavisi Fizyoterapistler tarafından yapılıyor. Başvurmanızı öneririm.

[@nostro1940]

We have 2 ears , each with 3 canals. These guys think we only have 1 ear? 🤣 KZbin medicine

[@ashratempel5094]

41 thumbs down? ahahahahahah Who's these Isis headhunters with negative?

[@manishswarnkar6441]

Someone plz explain in hindi

[@TechnoWasim]

Ab apka vertigo kaisa hai

[@rosarialops4426]

Parlate in italiano non capisco nulla

[@heersrivastava2635]

Not for the average viewer ...just saying

[@rodhosarzem8950]

sa

[@saimg5076]

Был

[@codyhildebrand13]

Unreliable. Also, was this audio recorded in your grandma's basement or in university? I can't stand the medical community anymore.