What is casani maneuver?

The Casani maneuver is quite similar to the Appiani with one key exception; the patient is moved from the initial seated position to a lateral side-lying position with the affected ear down. The head is then rotated 45 degree downward. After two minutes, the patient is returned to an upright position.

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What is lateral cupulolithiasis?

It is caused by free-floating otoconia moving freely in one of the semicircular canals (canalolithiasis) or by otoliths adhered to the cupula (cupulolithiasis). The posterior canal is the most common canal affected, followed by the lateral canal.

What is Geotropic nystagmus?

“Geotropic nystagmus” refers to nystagmus beating toward the ground, whereas “apogeotropic nystagmus” refers to nystagmus beating away from the ground. “Canalithiasis” describes free-floating particles within a semicircular canal (Fig. 4).

What is the log roll test?

The log roll test is the single most specific test for hip pathology. With the patient supine, gently rolling the thigh internally (A) and externally (B) moves the articular surface of the femoral head in relation to the acetabulum, but does not stress any of the surrounding extra-articular structures.

Is it OK to do Epley maneuver on both sides?

Because BPPV typically involves one ear,5 the Epley maneuver needs only to be performed on the affected side. Less commonly, the condition is bilateral (involving both ears) and requires you to use the technique on both sides.

What is canalithiasis and cupulolithiasis?

Canalithiasis is the. most common and occurs when otoconia are moving within the semicircular canal, causing vertigo and nystagmus that resolves within 60 seconds. Cupulolithiasis. occurs when otoconia adhere to the cupula and cause vertigo and nystagmus that.

What is the supine roll test?

A positive Supine-Roll test consists of a burst of horizontal nystagmus (jumping of the eyes). In lateral canal BPPV, the eyes jump sideways, to opposite directions depending on the side that is down (this is called “direction changing”).