Quick repositioning maneuver for horizontal semicircular canal benign paroxysmal positional vertigo

OBJECTIVE: To investigate the efficacy of quick repositioning maneuver for horizontal semicircular canal benign paroxysmal positional vertigo (H-BPPV). METHODS: Clinical data of 67 patients with H-BPPV who underwent quick repositioning maneuver in our hospital from July 2009 to November 2014 were retrospectively analyzed. The maneuver involved rotating the patient in the axial plane for 180° from the involved side towards contralateral side as quickly as possible. RESULTS: Complete symptom resolution was achieved in 61 patients (91.0%) at one week and in 64 patients (95.5%) at 3 months post-treatment. During the repositioning maneuver process, there were no obvious untoward responses except transient nausea with or without vomiting in a few patients. CONCLUSION: The results indicate that the quick repositioning maneuver is an easy and effective alternative treatment in the management of H-BPPV.