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Mike Mitka

JAMA. 2008;300(2):157-158.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The most common form of vertigo is best treated with the easiest and quickest method, according to a new practice parameter issued on May 26 by the American Academy of Neurology.

To treat posterior canal benign paroxysmal positional vertigo, a patient's head is turned in a series of moves called the Epley maneuver. This repositioning procedure uses gravity to draw canaliths from the posterior semicircular canal to the vestibule, where they are absorbed.

Posterior canal benign paroxysmal positional vertigo (BPPV) accounts for up to 30% of all vestibular presentations to dizziness clinics and also has a lifetime prevalence of 2.4% in the general population. This form of vertigo is believed to be caused when calcium crystals found throughout the inner ear break loose and migrate into the lumen of the posterior semicircular canal. These crystals, or canaliths, then trigger abnormal stimulation of cells that signal the sensation of . . . [Full Text of this Article]

CRITICAL MASS OF EVIDENCE



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