Resistant Posterior Semicircular Canal BPPV with Changing Oculomotor Pattern Solved with Mastoid Vibration Application

The use of mastoid vibration in addition to repositioning maneuvers for the treatment of benign paroxysmal positional vertigo of the posterior semicircular canal (PSC-BPPV) was described for the first time by Epley. There is evidence in the literature that the additional use of mastoid vibration could provide a substantial advantage also in the treatment of the apogeotropic variant of BPPV of the horizontal semicircular canal (HSC-BPPV). The present is a case report about a patient with a left PSC-BPPV resistant to the conventional treatment with Epley repositioning maneuver.