New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo

Dario A. Yacovino*, Timothy C Hain, Francisco Gualtieri

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

120 Scopus citations


This article describes the clinical features of anterior semicircular canal benign paroxysmal positional vertigo (AC-BPPV) and a new therapeutic maneuver for its management. Our study was a retrospective review of cases from an ambulatory tertiary referral center. Thirteen patients afflicted with positional paroxysmal vertigo exhibiting brief positional down-beating nystagmus in positional tests (Dix-Hallpike and head-hanging position) were treated with a maneuver comprised of the following movements: Sequential head positioning beginning supine with head hanging 30° dependent with respect to the body, then supine with head inclined 30° forward, and ending sitting with head 30° forward. All cases showed excellent therapeutic response to our repositioning procedure, i.e. relief of vertigo and elimination of nystagmus. The maneuver described is an option for AC-BPPV treatment.

Original languageEnglish (US)
Pages (from-to)1851-1855
Number of pages5
JournalJournal of Neurology
Issue number11
StatePublished - Nov 1 2009


  • Anterior canal
  • Head-hanging
  • Maneuver
  • Treatment
  • Vertigo

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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