An Alternative Treatment Option for Anterior Canal Benign Paroxysmal Positional Vertigo

ABSTRACT

The purpose of this case report is to describe the treatment of anterior canal Benign Paroxysmal Positional Vertigo (BPPV) using a “reverse” Parnes particle repositioning maneuver. The participant was a 93-year-old female who was initially diagnosed with left-sided posterior canal BPPV and was treated with the Parnes particle repositioning maneuver. This technique was unsuccessful after two attempts. After the second attempt, she demonstrated downbeating right torsional nystagmus when she rolled over onto her left side. As a result, she was subsequently diagnosed with right-sided anterior canal BPPV. After the Kim, Shin, and Chung anterior canal BPPV technique was unsuccessful, a “reverse” Parnes particle repositioning maneuver was performed. Three days after she had been treated with this repositioning technique, the participant no longer reported any vertigo or functional problems. Three months later, these positive outcomes remained. Therefore, a “reverse” Parnes particle repositioning maneuver should be considered a viable alternative in the management of anterior canal BPPV.

KEYWORDS. :

• Benign paroxysmal positional vertigo
• particle repositioning maneuver
• vestibular rehabilitation