As much as 20 percent of patients presenting with dizziness may have b
enign paroxysmal positional vertigo. This condition, which may be caus
ed by otoliths lodged in the semicircular canals of the ear, tends to
be persistent or recurrent. Traditionally, it has been treated symptom
atically with medication. The canalith repositioning procedure, a seri
es of defined head positions, is designed to shift the location of the
otoliths to afford relief from the nausea, vomiting and dizziness oft
en experienced by patients with this disorder.