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Ear Nose Throat J. 2005 Feb;84(2):82, 84-5.

Falling sensation in patients who undergo the Epley maneuver: a retrospective study.

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Division of Neurotology, Balance Center, Institute of Neurological Sciences, Marmara University, Istanbul, Turkey.


The author conducted a retrospective study to determine the prevalence of a falling sensation in patients who underwent the Epley canalith repositioning maneuver for the treatment of benign paroxysmal positional vertigo. The author studied a total of 436 maneuvers performed on 412 patients and observed 58 episodes (13%) of a strong falling sensation, some very severe. In almost every case, the sensation occurred when the patient was moved to the final (sitting) position; in 1 case, the sensation occurred nearly 30 minutes later. The author recommends that physicians who perform the Epley maneuver warn patients of the risk of a falling sensation, take steps to prevent its consequences, and monitor their patients for at least 30 minutes after the completion of the procedure.

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