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International Journal of Otolaryngology
Volume 2011, Article ID 278383, 7 pages
Clinical Study

Why Treat Apogeotropic BPPVs of the Horizontal Canal? About 30 Observations

1Ear Nose Throat, Vertigo and Vestibular Rehabilitation Clinic Center, 15 rue Gougeard, 72000 Le Mans, France
2Medical Statistic Department, Hospital Center, 194 avenue Rubillard, 72000 Le Mans, France
3Ear Nose Throat, Saint-Pierre Hospital Center, Porte de Hal, 1000 Bruxelles, Belgium

Received 27 February 2011; Revised 12 April 2011; Accepted 20 May 2011

Academic Editor: Stavros G. Korres

Copyright © 2011 Philippe Lorin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Benign paroxysmal positional vertigo (BPPV), of the horizontal canal, in the apogeotropic form (AHBPPV) was described in 1995. Based on 30 observations of typical AHBPPVs of the horizontal canal, we endeavor to discuss the relevance of physiotherapy. Material and Method. Thirty observations of typical apogeotropic BPPVs of the horizontal canal treated with a 360° barbeque rotation on the BPPV side, reviewed in consultation at 1 and 3 weeks and reevaluated the following year. Results. Our cohort of 30 patients had an average age of 58.6 years. The apogeotropic BPPVs of the horizontal canal, which can be transformed into BPPVs of the posterior canal or into geotropic-type BPPVs of the horizontal canal do not recover more quickly. Patients who follow the positional advice do not recover more quickly than those who do not ( ). The 15 patients treated on average 13.73 days after the onset of the disease did not recover more quickly after the start of therapeutic treatment than those treated later ( ). Conclusion. Here, we demonstrate that the direction of rotation during the maneuvers is of no importance for the results. We show that transformability is not a guarantee of rapid recovery and that the therapist’s effectiveness is limited when it comes to the short-term results.