J Neurol Neurosurg Psychiatry 77:980-982 doi:10.1136/jnnp.2005.085894
  • Short report

Short-term efficacy of Epley’s manoeuvre: a double-blind randomised trial

  1. M von Brevern1,
  2. T Seelig1,
  3. A Radtke1,
  4. K Tiel-Wilck2,
  5. H Neuhauser3,
  6. T Lempert4
  1. 1Department of Neurology, Charité, Campus Virchow-Klinkum, Berlin
  2. 2Neurologisches Facharztzentrum, Berlin
  3. 3Robert Koch Institut, Berlin
  4. 4Department of Neurology, Schlosspark-Klinik, Berlin
  1. Correspondence to:
 Dr Michael von Brevern
 Neurologische Klinik, Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany; michael.von_brevern{at}
  • Received 7 December 2005
  • Accepted 10 March 2006
  • Revised 6 March 2006
  • Published Online First 20 March 2006


Background: Benign paroxysmal positional vertigo of the posterior canal (PC-BPPV) is a common vestibular disorder and can be easily treated with Epley’s manoeuvre. Thus far, the short-term efficacy of Epley’s manoeuvre for treatment of PC-BPPV is unknown.

Objectives: To evaluate the efficacy of Epley’s manoeuvre for treatment of PC-BPPV 24 h after applying the manoeuvre.

Methods: The short-term efficacy of Epley’s manoeuvre was compared with a sham procedure in 66 patients with PC-BPPV by using a double-blind randomised study design.

Results: 24 h after treatment, 28 of 35 (80%) patients in the Epley’s manoeuvre group had neither vertigo nor nystagmus on positional testing compared with 3 of 31 (10%) patients in the sham group (p<0.001).

Conclusion: Epley’s manoeuvre is shown to resolve PC-BPPV both effectively and rapidly.


  • Competing interests: None.

  • Published Online First 10 March 2006

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