Epley Maneuver for BPPV Epley manuver - Epley begins after the last step of the Dix Hallpike - Patient remains in the position with exacerbated nystagmus for approximately 1–2 minutes. - Patient's head is then turned 90 degrees to the opposite direction so that the unaffected ear faces the ground - Maintain the 20 degree neck extension - Keep the head and neck in a fixed position while the patient rolls onto their opposite shoulder. The patient is now looking downwards at a 45 degree angle. - Keep the patient in the new position for 1 minute. - Finally bring the patient up to sitting while holding the head in 45 degree rotation. - May require multiple attempts, but you can discharge patient home with daily exercises #Management #BPPV #Epley #Maneuver #Repositioning #Canalith #Vertigo
