Research Articles & Publications

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

Labyrinthine and Cortical Concussion: Treatment with Vestibular and Cognitive Rehabilitation

Global Journal of Otolaryngology, Volume 5 Issue 1 – March 2017 DOI: 10.19080/GJO.2017.05.555653 Gans RE and Darren Kurtzer Abstract The gelatinous brain freely floating in the skull can have multiple impact points during head trauma. On the same side of the impact is the coup injury to the brain; on the opposite side of the impact is the contra-coup injury; and the vectors of force that travel through the entire brain can also cause tearing or shearing of neurons, leading to Read More