Final answer:
Lateral Canal BPPV Canalithiasis is managed through specific maneuvers including the BBQ Lempert 360, which involves a 360-degree head movement, Modified Gufoni Geotropic, and Forced Prolonged Positioning. Other treatments like Brandt-Daroff exercises and the Modified liberatory maneuver are used for BPPV of the posterior canal.
Step-by-step explanation:
Lateral Canal BPPV Canalithiasis is a type of benign paroxysmal positional vertigo (BPPV) that affects the lateral semicircular canal and it is treated using different maneuvers. Most of these maneuvers aim at repositioning the otoliths or 'canaliths' back to the vestibule.
A. BBQ Lempert 360, also known as Roll maneuver, involves a 360-degree movement of the head. In this procedure, the patient is asked to lie down on the side that increases the symptoms. The head is then turned 90 degrees to the opposite side, and then the body is turned to align with the head. This process is repeated until the head completes a 360-degree rotation.
B. Modified Gufoni Geotropic and Forced Prolonged Positioning are also treatments for Lateral Canal BPPV Canalithiasis. In the Gufoni maneuver, the patient lies down on the healthy side and then moves the head about 45-degree upwards for a couple of minutes. Forced Prolonged Positioning requires the patient to stay in a specific position that moves the debris out of the canal.
On the other hand, Brandt-Daroff exercises and the Modified liberatory maneuver are used for treating BPPV affecting the posterior canal. Both maneuvers help in relocating the debris away from the semicircular canals back into the utricle where they can be reabsorbed.
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