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Normally only with head movement does fluid within the inner earalso move informing the brain that a head turn occurredhowever should a crystal called an otolith that gets displaceinto the poster canal of the inner ear, BPPVdizziness occurs. Fluid movement occurs due to the crystal rather than head turnscausing the brain to thinkmovement has occurred even though none has happened.When the Epley maneuver is performed to treat this posterior canalBPPV by trying to get the loose crystal out of the canalthis maneuver is started by turning the head forty-five degrees and the bodylaid back such the head is extended about 20 to 30 degrees.If BPPV is present, eye twitching call nystagmus will occur.After 30 to 60 secondsthe head is turned 90 degrees to the opposite side and held for another 30 to60 secondsThe head is then further rotated another 90 degreesaccomplished by having the patient turn onto their side which is thenheld for another 30 to 60 seconds. At this point the head should be tur

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