ABSTRACT
Steady resolution usually occurs within weeks, but the Epley manoeuvre effectively treats most cases. In this manoeuvre, the patient sits upright with legs extended, and their head is rotated towards the affected side. With the head still turned, the patient is laid flat past the horizontal (as in the Hallpike test). This position is held for 30 s. The patient’s head is then turned to the opposite
30 s. They are then sat upright, still with the head turned, to the opposite side of the lesion (for 30 s). Finally, the head is turned back to the midline with the neck flexed 45° (for 30 s).
