Innovative Journal Journal of Medical Biomedical and Applied Sciences 1362-4962 x Efficacy of Gans Repositioning Maneuver in Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo 1 Dr. Vinay S Bhat Journal Article Abstract Background and objective: posterior canal BPPV is one of the common cause for vertigo. Well established treatment methods such as semont liberatory maneuver (SLM) and epley maneuver (EM) are choice of treatment in most patients. These maneuvers are contraindicated in certain group of patients with neck, back and hip mobility issues where in gans repositioning maneuver (GRM) is tried. This study intends to assess the efficacy of this technique. Methodology: Total of 30 patients including 15 male and 15 female patients were included in the study. All the patients underwent GRM as a definitive treatment modality. Patients who responded within 2 attempts were considered successful treatment. Results: Out of 30 patients 27 patients (90%) were treated successfully within two attempts of GRM. 3 patients (10%) were considered unresponsive. Male patients responded better (93.3%) compared to female patients (86.7%). None of the patients had any discomfort during the procedure. Conclusion: This study shows that GRM is an effective method in treatment of posterior canal BPPV and results are comparable to outcome of similar studies conducted by various authors using other maneuvers such as EM and SLM. Further studies which include patients with neck, back and hip mobility issues can prove its safety. Cohen, H S, Side-lying as an alternative to the Dix-Hallpike test of the posterior canal, Otol Neurotol, 2004, 25, 130, 134 BATH, A, WALSH, R, RANALLI, P, TYNDEL, F, BANCE, M, MAI, R, RUTKA, J, Experience from a multidisciplinary ?Dizzy? clinic, American Journal of Otolaryngology, 2000, 21, 1, 92, 97, 0196-0709, 10.1016/s0196-0709(00)80081-2, Elsevier BV, https://dx.doi.org/10.1016/s0196-0709(00)80081-2 Parnes, L, Mcclure, J, Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion, Laryngoscope, 1992, 102, 988, 992 Epley, John M., The Canalith Repositioning Procedure: For Treatment of Benign Paroxysmal Positional Vertigo, Otolaryngology–Head and Neck Surgery, 1992, 107, 3, 399, 404, 0194-5998, 1097-6817, 10.1177/019459989210700310, SAGE Publications, https://dx.doi.org/10.1177/019459989210700310 Korres, Stavros G., Balatsouras, Dimitrios G., Diagnostic, Pathophysiologic, and Therapeutic Aspects of Benign Paroxysmal Positional Vertigo, Otolaryngology–Head and Neck Surgery, 2004, 131, 4, 438, 444, 0194-5998, 1097-6817, 10.1016/j.otohns.2004.02.046, SAGE Publications, https://dx.doi.org/10.1016/j.otohns.2004.02.046 Humphriss, Rachel L., Baguley, David M., Sparkes, Valerie, Peerman, Suzy E., Moffat, David A., Contraindications to the Dix-Hallpike manoeuvre: A multidisciplinary review: Contraindicaciones de la maniobra de Dix-Hallpike: Una revisión multidisciplinaria, International Journal of Audiology, 2003, 42, 3, 166, 173, 1499-2027, 1708-8186, 10.3109/14992020309090426, Informa UK Limited, https://dx.doi.org/10.3109/14992020309090426 Hall, S, Ruby, R, Mcclure, J, The mechanics of benign paroxysmal vertigo, J Otolaryngol, 1979, 8, 151, 158 Macias, John D., Lambert, Kim M., Massingale, Shelly, Ellensohn, Andrea, Ann Fritz, Jean, Variables Affecting Treatment in Benign Paroxysmal Positional Vertigo, The Laryngoscope, 2000, 110, 11, 1921, 1924, 0023-852X, 10.1097/00005537-200011000-00029, Wiley, https://dx.doi.org/10.1097/00005537-200011000-00029 Nunez, R, Furman, Cass S, , J, Short-and longterm outcomes of canalith repositioning for benign paroxysmal positional vertigo, Otolaryngol Head Neck Surg, 2000, 122, 647, 652 Semont, A, Freyss, G, Vitte, E, Curing the BPPV with a liberatory maneuver, Adv Otorhinolaryngol, 1988, 42, 290, 293