Treatment for BPPV, lateral canal, apogeotropic, left side

By Marcello Cherchi, MD PhD

For patients

For a person who has benign paroxysmal positional vertigo (BPPV) involving the lateral canal (also called the horizontal canal) on the left side, whose eye movements are characterized as “apogeotropic,” the relevant treatment maneuvers include the Gufoni/Appiani maneuver (apogeotropic variant) for the left side, or the Zuma maneuver (apogeotropic variant) for the left side.

For clinicians

The lateral (also known as the horizontal) semicircular canal is the second most commonly affected canal by benign paroxysmal positional vertigo (BPPV). If the left lateral canal is affected, and if the direction changing positional nystagmus is apogeotropic, then the main options for treatment maneuvers are:

• Gufoni/Appiani maneuver, apogeotropic, left side
• Zuma maneuver, apogeotropic, left side