Anterior Canal - BPPV: Deep Head Hanging

Update Item Information
Identifier AC-BPPV-deep
Title Anterior Canal - BPPV: Deep Head Hanging
Alternative Title Video 6.32 Anterior Canal BPPV-treatment with the deep head hanging maneuver from Neuro-Ophthalmology and Neuro-Otology Textbook
Creator Daniel R. Gold, DO; Laura Morris, PT, NCS; Michael C. Schubert PT, PhD; Amir Kheradmand MD
Affiliation (DRG) Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland; (LM) Elmhurst Memorial Healthcare, Elmhurst, Illinois; (MCS) Departments of Otolaryngology - Head & Neck Surgery, Physical Medicine and Rehabilitation, The John Hopkins School of Medicine, Baltimore, Maryland; (AK) Departments of Neurology, Otolaryngology - Head & Neck Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland
Subject Benign Paroxysmal Positional Vertigo; BPPV; Anterior Canal; Deep Head Hanging; Exam; Examination
Description 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)
Date 2016
Language eng
Format video/mp4
Type Image/MovingImage
Collection Neuro-Ophthalmology Virtual Education Library: Dan Gold Neuro-Ophthalmology Collection: https://novel.utah.edu/Gold/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6fn4fv6
File Name AC-BPPV
Setname ehsl_novel_gold
ID 187683
Reference URL https://collections.lib.utah.edu/ark:/87278/s6fn4fv6
Back to Search Results