Usually only with movement of the head does the fluid inside the inner ear Also transmit informing the brain that a head cycle has occurred However it should be called an otolith crystal that gets displacement In the attached canal of the inner ear, BPPV Dizziness occurs. The movement of the liquid occurs due to the crystal rather than the vertical turns Which makes the mind think A movement has occurred even though nothing has happened. When the Epley maneuver is performed this posterior canal is treated BPPV by trying to get the crystal loose to exit the channel This maneuver begins by turning the head and body forty-five degrees Laid back this head is extended about 20 to 30 degrees. If BPPV is present, tingling nystagmus will occur. After 30 to 60 seconds The head is turned 90 ° to the other side and held for another 30 ° 60 seconds Then the head is additionally rotated 90 ° It is achieved by running the patient on their side which is at that time It held for 30 to 60 seconds. At this point the head should turn 45 Degrees of horizontal. When performing this post maneuver one can assist in this situation the changes After completing the maneuvers, the patient is seated.
What happens with this position changes? Basically the head has moved In such a way to manipulate the crystal falling towards Channel opening. With each position changing it takes about 30 to 60 seconds For the crystal to settle in the most subordinate position in the channel. If the turns are made before the crystal has a chance to settle The crystal may retract in a wrong way and the maneuver will fail. It is also important that they orient the postures correctly Otherwise, the crystal will not settle into the correct position in the channel The maneuver will fail. Also if the position changes are made too slowly the crystal may not settle Fast enough lack of momentum The maneuver will also fail. Once in Crystal Falls To exit the duct, dizziness should resolve if it is due to the posterior canal BPPV..