Horizontal Canal BPPV

Horizontal Canal BPPV . How to use the supine roll test to diagnose it and the Gufoni maneuver to cure it.

[RM-hqwn]

The most authentic, well researched and easily explained vertigo resources. You are the biggest vertigo authority on globe sir....

[rishashetty]

I'm a surgical resident with some experience in the ER pre-residency. Honestly, I wish somebody taught us surgery this way. Thank you sir! Your videos are truly enlightening!

[christianserce]

Your Videos concerning the different forms of BPPV are superb teaching!!! Thanks a lot for that!

[hussla]

Im a physio, this video helped me immensely when confused with a patient. Thanks for the post.

[triplevitalitytv]

Dr. Johns, just want to say thank you so much for your wisdom and expertise. As a PT who aspires to learn more and more about vestibular treatment, this has been a godsend for both me AND my patients. We appreciate you!

[sudiptarunsen]

Iam a practising ENT Surgeon from India.I found this video extremely concise and informative.Thankyou.

[Friendlyhelpers]

Thank you for the videos. We are forming a vestibular commity and your explanations were clear and thorough. Also appreciate your patients helping us learn.

[alptekinakturk]

BY FAR THE BEST VIDEO about horizontal canal bppv. Amazing. Thank you Sir.

[BalancingActResources]

This is a great video! It's a great reminder that Epley's don't fix everything, and there are other canals besides the posterior canal.

[jeekid]

Thank you Dr. Johns. I learned diagnosis and treatment of hc-BPPV from this video and treated some patients. I think Gufoni maneuver is very effective for hc-BPPV.

[Ihsaanc]

Last month I successfully cured a patient with right geoteopic lateral canal bppv, this is because of your videos.

[skohaya]

This is a Gem. A keeper forever. Thanks for the clear understanding and life changing demos!

[aydinturhan]

Finally someone who explains it clearly

[GordonPhysicalTherapy]

Great video, Peter! Thank you for the information! Do you have a video that talks about cupulolisthiasis vs. canalisthiasis? I'm working with a patient with apogeotropic horizontal nystagmus that's worse when lying on the left side, indicating his right side is involved. I did the Gufoni on the right a couple times with no result, then I tried the BBQ roll instead, again treating the right ear and starting on that side. During the BBQ roll, it appeared to me that his vertigo just wouldn't stop, and I was thinking this might be indicative of the crystals being stuck to the cupula. I did some gentle manual vibration/cupping of his head when he was rolled onto his left side, and this helped clear things up. I then completed the BBQ roll, ending on the right, and then his nystagmus seemed to be cleared when I did the Supine Roll Test again. Can you share any insights or advice? Thanks again! - Luke

[AllDay]

So I have horizontal nystagmus but my ENT doctors don't suspect that I have BPPV. They think it's potentially a central issue. But my neurologist doesn't think it's central. Brain MRI, CT of ear, normal. Only thing not normal is my VNG test. I'm not sure what other test we can do or what we should be looking for to see if it's central or not. Have you had any patients who had a hard time figuring out the cause?

[fatmasharky]

Thank you so much for this amazing video! i’m not a vertigo treating professional I’m actually a patient who gets multiple BPPV episodes a year, with the last one being HC- BPPV. I actually diagnosed it myself after so much search because I would get spinning anywhere I rolled, when I looked sideways and up or down! I did the BBQ roll and on the second day it was already much better. My question is, do you think it’s possible that a patient can diagnose themselves and determine which canal and which ear are invloved? Can Patients video record their nystagmus and identify it themselves if they can? Does a HOrizontal nystagmus actually feel like horizontal beating to the patient? Like visually I mean? I’m asking this because it’s not always easy or fast enough seeing a an ENT or a vestibular therapist when an episode of BPPV decides to show up and ruin my plans.

[vijaychandramaniya]

Thanks a lot to you and your team and patients for the absolutely clear understanding video in the best possible way one can ever think of.God bless you sir. I wish I could learn such things from you in person which will be a life long memory. Best of luck for the future sir. Congrats.

[MickBReedy]

Isn't the affected ear in those apogeotropic nystagmus to the side with LESS prominent nystagmus?

[sergeyryabov]

Thank you so much! Can vertigo with horizontal nystagmus occur if the patient is simply supine (head straight) in a person with a horizontal canal BPPV? I mean it occurs not only when head is turned to the right/left.

[SarkisKlinik]

What is the difference between gufoni and lempert maneuver? When is lempert done compared to gufoni?