Anterior Canal BPPV

[Ihsaanc]

As an ENT practitioner, this week I successfully cured a patient with anterior canal bppv that had seen two colleagues of mine without success. This is because of your videos.

[janneyovertheocean]

Thank you very much Dr. Johns! This video has the best demonstration of nystagmus and explanation about anterior canal in contrast to posterior canal BPPV in manifestation. I’ve watched many videos on YOUTUBE and yours is the best. Looking forward to watch others and learn more.

[michalubszczyk]

Hello Mr Johns, I am young ENT resident and I love your videos on BPPV. Very clear information, explaining on Gufoni maneuvers is just brilliant. Keep up with the good work!

[juneethalam]

Sir whether bppv has any link vitamin D dificiency.what is the reason that crystal dislodge from utricle and enter in to the semicircular canal.

[agostonbazmajer]

Very informative and interesting video, sir. Have you considered covering more rare diseases that may present as vertigo? Perhaps and introductory video on what sort of findings one could expect when examining a patient with Meniere's as opposed to the findings in vestibular neuritis or BPPV. Or maybe the different findings in vestibular neuritis and labyrinthitis, I've read that the latter is usually accompanied by hearing loss, although I'm not certain about the sensitivity or the specifity of this finding. Please keep up the good work, you have an outstanding channel with a very interesting topic.

[mgurkanli]

Hello, my doctor diagnosed me with anterior canal bbpv using a glasses system that monitors my eye movements. We performed this maneuver twice, two days apart. My complaints seemed to have decreased, but they did not completely improve. Would it be useful or harmful to do this maneuver once a day until my complaints improve?

[mehdibanihosseini]

Hello Mr Johns
About 3 month ago I had left postrior Bppv which was cured by 2 section of Eplay manuevere ; My affecte ear canalith was diagnosed by Doctor according to dixhulpike test .
During last months; I had no problem. But my vertigo has come back since last week! I have no approach to my doctor right now!
But when I do dixulpike; I had no vertigo; neither in left; Nor Right side..
So according ro your video; I did deep hanging head test; and unbelievably undrestood that I have diziness when I am lying on the bed and my head is with the angle to upward!
No diziness in first step( when lying and my bed is hanged to the earth!!l)

[jakebarber]

Dr. Johns,

Thank you for the video and instruction. I think your demonstration of this particular kind of nystagmus and description of the maneuver used to treat this form of BPPV are very clear and easy to follow. I was curious, however, about this: it seems that this pt has AC BPPV lateralized to the right side, per the left Dix-Hallpike. I was wondering if it would be necessary to repeat a left DH to ensure the right AC was clear, rather than checking using a right DH (as in the 2nd part of the video). I understand that the PRM in this video is used for treating both sides; I was specifically curious about rechecking that treated canal.

Thank you again for the material, and any insight you can provide.

[leventgurbuzler]

Hello Mr Johns I watched your video and I want to say that it is very beneficial and informative. I have some trouble with one of my patients and ıf you can help me I will be very happy. On Dıx-Hallpike test, there are up-beating nystagmus on both sides. But on left side the nystagmus amplitude is stronger. So I made eppley maneuver to left side. After 5 days the patient was better. However, after a week my patient worsened again. Dix-Hallpike test was the same as the previous one. Up-beating and torsionally right on right side and up-beating torsionally left on left side. The amplitude of nystagmus is stronger on left side.
What do you think of this patient and what kind of repositioning maneuver do you suggest? Thank you very much

[ojmavs]

What’s the diff between this technique and epley? Do they both do the same but just diff methods? And if so which is preferred or most effective ?

[vinkosusac]

Hello Doctor.
Can you tell me how or when patients feel vertigo in this Anterior BPPV(during walking, supine position etc.)?

You explained Posterior and Lateral BPPV, i didn’t get for this one😊
Thank you very much❤
Greatings from Europe.

[mariamyousuf]

I'm not sure whether I have anterior canal bbpv but I'm sure its bbpv. Should I go for this excercise? My issue is mostly on the left side. I'm 30 years old

[rajarshisannigrahi]

Thank you for a wonderful video. Sir, I have a patient with complaints suggesting bppv. On dix Hall pike it appears to me a left post canal bppv. I did epley but just at the 4th step (ie when he goes back to sitting) he had vertigo again with a tendency to fall on the left side. Sir could you plz help me with this??

[numbnutz]

Hi, I have a patient who has up beating nystagmus only on the deep head hang position, this reversed when brought back to seating, there are no other abnormalities. Due to this not being down beating it leads me away from anterior canal bppv?

[unappropadope]

I was taught to also perform the epley maneuver for either ant/post canalithiasis; considering the anatomy it seems at least theoretically more risky to perform the maneuver this way. The rise back into flexion has a stronger potential for the otolithic crystals to roll right back where we started whereas the lateral rotational motion in epley may help facilitate a return into flexion without that risk- so long as sufficient extension and flexion are utilized. What are your thoughts on this mostly theoretical objection/critique? This technique wasn’t even covered in our curriculum to be fair (graduated literally yesterday)

[marcusconway]

Hello Dr Johns, Thanks for the beautifully presented video. I’m interested to know the reasons why the posterior canal is the most commonly affected semilunar canal and why the Anterior canal is the least commonly affected?.
Is it related to a physiological reason such as diameter lumen size, or overall length or position of the canals or are there other pathological reasons for why one canal is affected more than the other two? What are common pathologies that should be screened for that might cause the crystals to misplace /lodge or have aberrant normal movement?

[najamartner]

If a person has horizontal bppv, can it be changed to the other kind of bppv that is easier to cure?

[delaneyschafer]

When you say it may be repeated. How soon after should it be? Immediately? Or more like 24 hours?

[ishandixit]

Sir, How can we differentiate it from apogeotropic posterior canal bppv ?

[hyeaaa_]

Hello i am ENT resident from Korea. I wonder how can we know the direction of ASCC BPPV. If head down to Lt, than is it Lt ASCC BPPV?