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It might be benign paroxysmal positional vertigo, related to otoliths in the semi-circular canals of the inner ear. The sequence of moves is similar to those hand-held 3D mazes where a small ball bearing must be maneuvered through passageways using gravity to direct its movement. From Mayo Clinic quote: the canalith repositioning procedure consists of several simple maneuvers for positioning your head. The goal is to move particles from the fluid-filled semicircular canals of your inner ear (vestibular labyrinth) into a tiny bag-like structure (utricle) where these particles don't cause trouble. Each position is held for about 30 seconds. The success rate for this procedure is as high as 90 percent to 95 percent.
After the procedure, you must avoid lying flat for 24 to 48 hours and elevate your head on a few pillows when you sleep. This allows time for the particles floating in your labyrinth to settle into your utricle or be reabsorbed by the fluids in your body. You may need to wear a neck collar to prevent tilting your head. It may be necessary to repeat the procedure several times. Your doctor also may show you some therapeutic exercises that you can perform at home.
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