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Clinical inquiries. what is the best approach to benign paroxysmal positional vertigo in the elderly?

Clinch, C.R.; Kahill, A.; Klatt, L.A.; Stewart, D.

Journal of Family Practice 59(5): 295-297

2010

ISSN/ISBN: 1533-7294
PMID: 20544052
Document Number: 645300
A canalith repositioning maneuver (CRM), such as the Epley or Semont maneuver, should be the first-line treatment for benign paroxysmal positional vertigo (BPPV) in the elderly. Following the Epley maneuver with self-treatment at home using a modified Epley procedure improves outcomes. Postural restrictions are not necessary after CRM treatment. Medications do not work as well as a CRM, but studies comparing treatments are limited.

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