A modified Epley's procedure for self-treatment of benign paroxysmal positional vertigo

We compared the efficacy of a modified Epley's procedure (MEP) and Brandt-D aroff exercises (BDE) for self-treatment of benign paroxysmal positional ve rtigo of the posterior semicircular canal (PC-BPPV) in 54 patients. PC-BPPV resolved within 1 week in 18 of 28 patients (64%) using the MEP and in 6 o f 26 patients (23%) performing BDE (p < 0.01). Type and adequate performanc e of the maneuver predicted treatment outcome in the multivariate analysis. The frequency of side effects was not significantly different between the two groups. The MEP is more suitable for self-treatment of PC-BPPV than con ventional BDE.