Outcome of Gans Repositioning Maneuver in Patients with Posterior Canal Benign Paroxysmal Positional Vertigo with Cervical Spondylosis

Published on: May 5, 2020

Indian Journal of Otology ¦ Volume 25 ¦ Issue 4 ¦ October-December 2019

H. Gayathri, Gurushekar Rose Preethi, Paul Mary P. Christina
Departments of ENT and Community Medicine, ACS Medical College and Hospital, Chennai, Tamil Nadu, India

Abstract
Background and Objectives: Cervical spondylosis and BPPV often co-exist in older population. As GRM doesn’t involve hyperextension of neck, which is better avoided among patients with cervical spine pathology, we decided to assess the outcome of GRM in patients with cervical spondylosis in terms of safety & efficacy. Methodology: Twenty patients with clinically proven posterior semicircular canal BPPV and radiologically evident cervical spondylosis without symptomatic spondylotic myelopathy or radiculopathy or severe restriction of neck or back movement were enrolled. GRM was done on the first day and repeated until resolution of nystagmus, for a maximum of four times. Lack of response to GRM even after fourth attempt was considered as failure. The manuever was repeated in the successful group on day two and after one week & these patients were followed up for one month. Results: Overall, 75% of the patients (50.9% to 91.3% – 95% C.I.) had a successful repositioning maneuver. Favourable parameters for better chances of cure were higher age (>55 years), male gender & higher grade of cervical spondylosis. 20% of patients had experienced temporary pain for few hours on the day of maneuver. None of the patients who had less than two attempts of GRM had post-procedure pain. Clinically, none of the patients had precipitation of cervical myelopathy or radiculopathy. Conclusion: GRM is a safe & effective particle repositioning maneuver for patients with posterior semicircular canal BPPV
with co-existent cervical spondylosis.

 

Read Article

Recent Posts

The Efficacy of the Gans Repositioning Maneuver in Comparison with the Epley Maneuver in Elderly Patients with Benign Paroxysmal Positional Vertigo

Published on: June 30, 2025

Published on: 4 March 2025 Auditory and Vestibular Research, Spring 2025;34(2):144-150 Benign Paroxysmal Positional Vertigo (BPPV) impacts the quality of life of affected people, especially the elderly. The Epley maneuver […]

Read more

Seasonal incidence of benign paroxysmal positional vertigo

Published on: February 6, 2025

Journal of Otolaryngology – ENT Research | Volume 16 – Issue 1 – 2025 Benign paroxysmal positional vertigo (BPPV) is the most frequent type of peripheral vestibular vertigo.1 BPPV is […]

Read more

When Positional Vertigo is Not “Benign”

Published on:

Hearingreview.com | January/February 2025 Benign paroxysmal positional vertigo (BPPV) is the No. 1 cause of vertigo. Except when it’s actually not the cause. Vertebral artery (VA) compromise can mimic BPPV […]

Read more

Comparison between Epley and Gans Repositioning Maneuvers for Posterior Canal BPPV: A Randomized Controlled Trial

Published on: March 26, 2024

Annals of Indian Academy of Neurology | Volume 26 – Issue 4 – July-August 2023 Benign paroxysmal positional vertigo (BPPV) is one of the commonly occurring causes of vertigo. BPPV […]

Read more