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. Author manuscript; available in PMC: 2013 Oct 1.
Published in final edited form as: Otolaryngol Clin North Am. 2012 Oct;45(5):925–940. doi: 10.1016/j.otc.2012.06.001

Figure 6.

Figure 6

The Gufoni maneuver for treatment of lateral canal BPPV [COMP, USE FULL PAGE WIDTH OR NEARLY FULL PAGE WIDTH FOR FIGURE 6]

A. For lateral canal BPPV with geotropic nystagmus, the patient is taken from the sitting position (Step 1) to the straight side lying position on the unaffected side (left in this case) for 1 minute. Then the patient's head is quickly turned toward the ground 45 to 60 degrees and held in position for 2 minutes. The patient then sits up again, with the head in the same position over the left shoulder.

B. For lateral canal BPPV with apogeotropic nystagmus, the patient is taken from the sitting position (Step 1) to the straight side lying position on the affected side (right in this case) for 1 minute. Then the patient's head is quickly turned toward the ground 45 to 60 degrees and held in position for 2 minutes. The patient then sits up again with the head in the same position over the right shoulder. (Adapted from Fife et al. 2008 (25), used with permission)