Introduction and Objectives: Benign paroxysmal positional vertigo (BPPV) affecting the lateral semicircular canal is a common condition characterized by vertigo triggered by head movements. This study aimed to compare the efficacy of different repositioning maneuvers for geotropic and apogeotropic lateral canal BPPV variants, determining the required sessions for symptom remission.
Patients and Methods: A randomized clinical trial included 84 patients with lateral canal BPPV treated at a medical center. Patients were divided based on BPPV variant and underwent specific repositioning maneuvers. Outcome measures included direct remission and timing of symptom resolution. Statistical analyses were performed to compare outcomes between different maneuvers in both geotropic and apogeotropic variants of lateral SCC BPPV.
Results: Showed varying success rates among maneuvers for different BPPV variants. The Gufoni maneuver was most effective for geotropic BPPV, while the Zuma maneuver showed high efficacy for apogeotropic BPPV.
Conclusion: These findings provide insights into maneuver effectiveness and may guide treatment decisions for lateral canal BPPV.