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    If you want your calcium carbonate crystals in the right place so that the room stops spinning so suddenly, a doctor might manipulate your head this way. What is this manipulation called?

    Question #100395. Asked by edmund80. (Oct 20 08 8:49 PM)


    McGruff

    The Epley Maneuver

    In Benign Paroxysmal Positional Vertigo (BPPV) dizziness is thought to be due to debris which has collected within a part of the inner ear. This debris can be thought of as "ear rocks", although the formal name is "otoconia". Ear rocks are small crystals of calcium carbonate derived from a structure in the ear called the "utricle".

    BPPV is a common cause of dizziness. About 20% of all dizziness is due to BPPV. The older you are, the more likely it is that your dizziness is due to BPPV, as about 50% of all dizziness in older people is due to BPPV. In a recent study, 9% of a group of urban dwelling elders were found to have undiagnosed BPPV.
    http://www.tchain.com/otoneurology/disorders/bppv/bppv.html

    Here is a diagram and explanation of the Epley Maneuver:
    http://www.merck.com/pubs/mmanual_ha/figures/fg20_1.html

    Oct 20 08, 9:27 PM
    edmund80

    Yes, the Epley maneuver can shift those otoconia into the correct spot. It is much like that toy wherein you attempt to drop balls into the right holes by shifting the entire thing this way and that way, only the movements are specified.

    Contraindications to performing the Epley maneuver include unstable heart disease, high grade carotid stenosis, ongoing CNS disease (stroke or TIA), and severe neck disease. Relative contraindications include pregnant women beyond the 24th week gestation (to avoid the supine hypotension syndrome).

    http://www.ferne.org/Lectures/changaaem0903.htm

    Oct 20 08, 9:53 PM


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