Horizontal Canal - BPPV: Gufoni for Right Apogeotropic

𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: To treat the right apogeotropic (beating towards the sky with right ear down and with left ear down - e.g., left beating nystagmus with right supine roll test or with right ear down; right beating nystagmus with left supine roll test or with left ear down) horizontal canal (HC) variant: • The patient is placed in a seated position on the treatment table • With the head in a neutral spine orientation, the patient is quickly moved onto the side ipsilateral to the weaker nystagmus (to the right side in the right apogeotropic variant) and this this position is held for 2 minutes • The patient's head is rotated 45 degrees towards the ceiling and this position is held for 2 minutes • Finally, the patient is brought back into a seated position To treat the right geotropic (beating towards the ground with right ear down and with left ear down - e.g., right beating nystagmus with right supine roll test or with right ear down; left beating nystagmus with left supine roll test or with left ear down) horizontal canal (HC) variant: • The patient is placed in a seated position on the treatment table • With the head in a neutral spine orientation, the patient is quickly moved onto the side ipsilateral to the weaker nystagmus (to the left side in the right geotropic variant) and this this position is held for 2 minutes • The patient's head is rotated 45 degrees towards the ground and this position is held for 2 minutes • Finally, the patient is brought back into a seated position 𝗡𝗲𝘂𝗿𝗼-𝗼𝗽𝗵𝘁𝗵𝗮𝗹𝗺𝗼𝗹𝗼𝗴𝘆 𝗮𝗻𝗱 𝗡𝗲𝘂𝗿𝗼-𝗼𝘁𝗼𝗹𝗼𝗴𝘆 𝗧𝗲𝘅𝘁𝗯𝗼𝗼𝗸 𝗟𝗲𝗴𝗲𝗻𝗱: (1) To treat right apogeotropic (beating toward the sky with right ear down and with left ear down-e.g., left beating nystagmus with right supine roll test or with right ear down; right beating nystagmus with left supine roll test or with left ear down) horizontal canal (HC) BPPV: (a) The patient is placed in a seated position on the treatment table, (b) With the head in a neutral spine orientation, the patient is quickly moved onto the side ipsilateral to the weaker nystagmus (to the right side in the right apogeotropic variant) and this position is held for 2 minutes, (c) The patient's head is rotated 45 degrees toward the ceiling and this position is held for 2 minutes, (d) Finally, the patient is brought back into a seated position. (2) To treat right geotropic (beating toward the ground with right ear down and with left ear down-e.g., right beating nystagmus with right supine roll test or with right ear down; left beating nystagmus with left supine roll test or with left ear down) horizontal canal (HC) BPPV: (a) The patient is placed in a seated position on the treatment table, (b) With the head in a neutral spine orientation, the patient is quickly moved onto the side ipsilateral to the weaker nystagmus (to the left side in the right geotropic variant) and this position is held for 2 minutes, (c) The patient's head is rotated 45 degrees toward the ground and this position is held for 2 minutes, (d) Finally, the patient is brought back into a seated position https://collections.lib.utah.edu/ark:/87278/s6q55z98. (Video created with the assistance of Drs. Michael Schubert, Amir Kheradmand, and Laura Morris)