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Comparison of repositioning maneuvers for benign paroxysmal positional vertigo of posterior semicircular canal: advantages of hybrid maneuver

American Journal of Otolaryngology Volume 33, Issue 5, September–October 2012, Pages 528-532 Francesco Dispenza MD, PhD, FAINOT, Gautham Kulamarva MS, DNB, DOHNS, MRCS, Alessandro De Stefano MD, PhD, FAINOT   Abstract Objective The prevalence of benign paroxysmal positional vertigo (BPPV) is becoming more frequent in elderly population. The presence of comorbid factors has to be considered before assessment as well as before commencing any repositioning treatment. Our aims were evaluation of the maneuvers efficacy and evaluation of the applicability of Read More

Epley repositioning maneuver versus Gans repositioning maneuver on postural instability in elderly patients with benign paroxysmal positional vertigo

The Egyptian Journal of Otolaryngology 2017, 33:518–522 Abir Omaraa, Dalia M. Mosaadb, Ahmed S. Mohamedb, Neveen A. Abd El-Raoofb Introduction Patients with benign paroxysmal positional vertigo (BPPV), especially the elderly, often experience a greater incidence of falls and postural instability. The Epley repositioning maneuver has been proven to be effective in improving the postural control, whereas Gans repositioning maneuver (GRM) is still lacking data. Objective The objective of this study was to compare between the effectiveness of GRM and Epley Read More

A safe-repositioning maneuver for the management of benign paroxysmal positional vertigo: Gans vs. Epley maneuver; a randomized comparative clinical trial

Eur Arch Otorhinolaryngol (2017) Alia Saberi, Shadman Nemati, Salah Sabnan, Fatemeh Mollahoseini, Ehsan Kazemnejad Abstract: Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. Some repositioning maneuvers have been described for its management. The aim of this study was comparing the therapeutic effect of Epley and Gans maneuvers in BPPV. This randomized clinical trial was performed from September to December 2015. 73 patients with true vertigo diagnosed as BPPV enrolled the study. They randomly assigned in quadripartite blocks to Read More

Vestibular-Cognitive Integration: A Concussion Case Study

Journal of Otolaryngology-ENT Research Volume 6 Issue 4 – 2017 Gans RE and Kurtzer DA Abstract Concussion (mTBI) diagnostics and management are some of the most commonly discussed topics in the healthcare setting for children, adolescents, and adults. Currently, there is no “gold standard” for the assessment and management of concussion patients; however, research is emerging in the field. We present a case report of a 70-year-old male suffering from both cortical and labyrinthine aspects of concussion. We utilized our protocol, The American Institute of Balance – Vestibular Cognitive Integration (AIB-VCI) for assessment and management of both the cortical and labyrinthine aspects of the patient’s concussion. This was met with great success; namely, the patient was performing at his target Read More

New Horizontal Canal Benign Paroxysmal Positional Vertigo Treatment: Kurtzer Hybrid Maneuver

Global Journal of Otolaryngology Volume 6 Issue 3 – April 2017 DOI: 10.19080/GJO.2017.06.555686 Gans RE, Darren Kurtzer* and McLeod H Abstract Horizontal canal benign paroxysmal positional vertigo (HC-BPPV) can be difficult for practitioners to treat. It can also be difficult for patients to tolerate the treatment effects. We have developed a treatment that reduces the number of positions required during the treatment process while effectively treating all HC-BPPV variants. Click Here to Read Full Article