Definition
By Mayo Clinic staffThe canalith repositioning procedure can help relieve benign paroxysmal positional vertigo (BPPV), a condition in which you have brief, but intense, episodes of dizziness that occur when you move your head. Vertigo usually comes from a problem with the part of the inner ear responsible for balance (vestibular labyrinth). BPPV occurs when tiny particles called otoconia in one part of your inner ear break loose and fall into the canals of your inner ear.
The canalith repositioning procedure can move the otoconia to a part of your ear where they won't cause dizziness. Performed in your doctor's office and at home, the canalith repositioning procedure consists of several simple head maneuvers. The procedure is quite effective, relieving vertigo in 80 percent or more of individuals after one or two treatments. However, the problem may recur.
- Canalith repositioning procedure — for treatment of BPPV. Vestibular Disorders Association. http://vestibular.org/understanding-vestibular-disorders/treatment/canalith-repositioning-procedure-bppv. Accessed March 20, 2012.
- Lalwani AK. Current Diagnosis & Treatment in Otolaryngology — Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=55771949. Accessed March 19, 2012.
- Clinical practice guideline: Benign paroxysmal positional vertigo. American Academy of Otolaryngology — Head and Neck Surgery Foundation. http://www.entnet.org/Practice/loader.cfm?csModule=security%2fgetfile&pageid=33697. Accessed March 19, 2012.
- Helminski JO, et al. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: A systematic review. Physical Therapy. 2010;90:663.
- Benign paroxysmal positional vertigo. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec08/ch086/ch086c.html#CIHHFCEC. Accessed March 19, 2012.


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