Gufoni Maneuver for Right Horizontal Canal-Cupulolithiasis (Apgeotropic Nystagmus)

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Identifier nogi-gufoni-maneuver-for-right-horizontal-canal-cupulolithiasis-apgeotropic-nystagmus
Title Gufoni Maneuver for Right Horizontal Canal-Cupulolithiasis (Apgeotropic Nystagmus)
Creator Allison Nogi, DPT
Affiliation (AN) Vestibular Clinical Specialist, The Johns Hopkins Hospital, Baltimore, Maryland
Subject Benign Paroxysmal Positional Vertigo (BPPV); Vestibular; Vertigo; Positional vertigo; Nystagmus; Dizzy
Description The Gufoni Maneuver can be used to treat horizontal canal cupulolithaisis. 1. The patient starts in a seated position. 2. The patient transitions quickly to lying on their affected side. 3. The patient lies on their affected side for two minutes with the head in a neutral position. 4. The patient's head is rotated 45 degrees upwards (nose pointing towards the ceiling), and this position is maintained for two minutes. There is currently no way to identify if the otoconia are adherent to the utricle or canal side of the cupula-as deflection of the cupula would produce similar nystagmus. Therefore, we recommend modifying this repositioning maneuver accordingly if the individual does not respond to treatment (nose up versus nose down). Antecedently, some clinicians remember this maneuver with the mnemonic "Apo, Affected, Away," meaning apogeotropic nystagmus will lead the patient to transition onto their affected side, and then the patient's head will be rotated to the away from the ground.
Date 2023-06
References Kim HA, Park S, Kim J, et al. Efficacy of mastoid oscillation and the gufoni maneuver for treating apogeotropic horizontal benign positional vertigo: A randomized controlled study.J Neurol. 2017;264(5):848-855. https://doi.org/10.1007/s00415-017-8422-2
Language eng
Format application/pdf
Type Text
Collection Neuro-Ophthalmology Virtual Education Library: Dan Gold Collection: https://novel.utah.edu/Gold/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6g0tp2t
File Name nogi-gufoni-maneuver-for-right-horizontal-canal-cupulolithiasis-apgeotropic-nystagmus.pdf
Setname ehsl_novel_gold
ID 2292522
Reference URL https://collections.lib.utah.edu/ark:/87278/s6g0tp2t
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