The Epley maneuver is also called the particle repositioning or canalith repositioning procedure – it was invented by Dr.In half of all cases, BPPV is called “idiopathic,” which means it occurs for no known reason.While rarely encountered, BPPV is also common in persons who have been treated with ototoxic medications such as gentamicin.Occasionally BPPV follows surgery, including dental work, where the cause is felt to be a combination of a prolonged period of supine positioning, or ear trauma.Viruses affecting the ear such as those causing vestibular neuritis are significanct causes.In older people, the most common cause is degeneration of the vestibular system of the inner ear and BPPV becomes much more common with advancing age.There is also a strong association with migraine.The most common cause of BPPV in people under age 50 is head injury.Activities which bring on symptoms will vary among persons, but symptoms are almost always precipitated by movement – getting out of bed or rolling over in bed are common causes.The symptoms of BPPV include dizziness or vertigo, lightheadedness, imbalance, and nausea.BPPV is a common cause of dizziness – about 20% of all dizziness is due to BPPV and while BPPV can occur in children the older you are, the more likely it is that your dizziness is due to BPPV – about 50% of all dizziness in older people is due to BPPV.This debris can be thought of as “ear rocks”, although the formal name is “otoconia”.In BPPV dizziness is generally thought to be due to debris which has collected within a part of the inner ear.Epley maneuver can treat Benign Paroxysmal Positional Vertigo (BPPV).Particle repositioning, Parnes, Agrawal, Atlas J Epley maneuver – particle repositioning for benign paroxysmal positional vertigo (BPPV)