Brandt-Daroff maneuver

The Brandt-Daroff maneuver is performed in the same manner for right and left-sided posterior canalithiasis. The seated patient begins by rapidly lying on one side (1), and then waits until any provoked vertigo subsides. The patient then sits up again (2), and waits once more for vertigo to subside. The next move is to rapidly lie on the other side (3), wait for any vertigo to subside, and then sit up again (4). The sequence is repeated 10 to 20 times, up to three times a day, until the patient is asymptomatic. The symmetry of this maneuver makes it appropriate for either left or right-sided pathology, and it also makes this maneuver useful when one is uncertain as to the side of the canalithiasis.