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The results of standard laboratory analyses and their neurologic examinations were within normal limits and Dix-Hallpike tests showed rotatory nystagmus in both cases. After the examination, he stood up rapidly with the help of the technician and suddenly experienced a vertigo attack with nausea and vomiting. During the renal magnetic resonance angiography, he was in the supine position for 20 minutes and asked not to move. The second patient was admitted to the radiology department for evaluation of his renal arteries. After the cranial CT imaging, she stood up rapidly, and suddenly experienced a vertigo attack and nausea. During scanning, she was asked to lie in the supine position with no other head movements for approximately 10 minutes. The first patient with headache and tremor was admitted to the radiology department for cranial computed tomography (CT) imaging. We report the cases of two patients who had BPPV attacks after radiologic imaging. A BPPV attack after a radiologic examination has not been reported previously. It is frequently seen in elderly patients, and the course of the attack may easily mimic cerebrovascular disease. In rare cases, the Epley maneuver will not relieve your symptoms and you will need to have surgery on the ear canal.Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. Most patients experience symptom relief after the Epley maneuver is performed. He or she may also recommend wearing a soft collar. In order to keep your head still, your doctor may recommend sleeping with two or more pillows to tilt your head to a 45-degree angle. Movements that could cause the crystals to dislodge include bending over too quickly, lying down too quickly, tilting your head or moving your head back and forth.
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Quickly push you back so you are lying with your shoulder blades touching the table.Rotate your head at a 45-degree angle toward the side of the body where you are experiencing the worst vertigo.Ask you to extend your legs out in front of you while sitting on an exam table.If your doctor is performing the Epley maneuver, the steps he or she will follow may include: There are few, if any, risks associated with the Epley maneuver.
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If you are experiencing vertigo that is caused by conditions other than BPPV, the Epley maneuver may not be appropriate for you. Patients who have been diagnosed with benign paroxysmal positional vertigo may find symptom relief after the Epley maneuver. Who is a candidate for an Epley maneuver?