Canalith reposition procedure for the treatment of benign paroxysmal positional vertigo

Background: Paroxysmal positional vertigo is a frequent and handicapping di sease. Aim: To assess the effectiveness of physical therapies using particl e reposition procedures in the treatment of paroxysmal positional vertigo. Patients and methods: Fifty nine patients (13 male) with paroxysmal positio nal vertigo were studied. Clinical data was gathered, the affected channel was identified. In the same session, the corresponding canalith reposition procedure was performed (Epley maneuver for posterior channel and Lempert m aneuver for lateral channel) and the immediate response was recorded. Resul ts: Twenty seven percent of patients had recurring episodes of vertigo and 60% had more than two weeks of evolution. In 49% of patients, vertigo was c onsidered idiopathic and in 92%, the posterior channel was affected. One pa tient had a combined lesion of posterior and lateral channels and two patie nts had isolated lateral channel lesions. Seventy percent of patients recov ered after two sessions of canalith reposition procedure. Conclusions: Cana lith reposition maneuvers were highly effective for the treatment of paroxy smal positional vertigo.