Anterior Canal - BPPV: Deep Head Hanging

𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: Regardless or whether it is thought that the patient has right or left anterior canal (AC) involvement, the deep head hanging maneuver is performed in the same way. • First the patient is placed in the long-sitting position • Then the patient is moved into a supine position with the head in at least 30 degrees of cervical extension • Allow nystagmus and vertigo to resolve (at least 30 seconds) • Bring the head into cervical flexion with the chin touching the chest • After 30 seconds the patient is brought back to a seated position with cervical flexion maintained • The head is brought back into a neutral position 𝗡𝗲𝘂𝗿𝗼-𝗼𝗽𝗵𝘁𝗵𝗮𝗹𝗺𝗼𝗹𝗼𝗴𝘆 𝗮𝗻𝗱 𝗡𝗲𝘂𝗿𝗼-𝗼𝘁𝗼𝗹𝗼𝗴𝘆 𝗧𝗲𝘅𝘁𝗯𝗼𝗼𝗸 𝗟𝗲𝗴𝗲𝗻𝗱: Regardless of whether it is thought that the patient has right or left anterior canal (AC) involvement, the deep head hanging maneuver is performed in the same way. (a) First the patient is placed in the long-sitting position; (b) Then the patient is moved into a supine position with the head in at least 30 degrees of cervical extension; (c) Allow nystagmus and vertigo to resolve (at least 30 seconds); (d) Bring the head into cervical flexion with the chin touching the chest; (e) After 30 seconds the patient is brought back to a seated position with cervical flexion maintained; (f) The head is brought back into a neutral position https://collections.lib.utah.edu/ark:/87278/s6fn4fv6. (Video created with the assistance of Drs. Michael Schubert, Amir Kheradmand, and Laura Morris)