{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T11:33:41Z","timestamp":1780054421645,"version":"3.54.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> This is the first case to our knowledge of a serious adverse event following the Epley maneuver, which is the treatment of choice for benign paroxysmal positional vertigo (BPPV), the most common vestibular disorder in adults. <\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p> A 77\u00a0year old female presented for outpatient evaluation of vertigo at a tertiary otolaryngology clinic. She was found to have BPPV clinically, and elected to have a particle repositioning maneuver (Epley maneuver) performed in clinic. Immediately following Epley maneuver, she had severe nausea and vomiting, with evolving visual changes. A CT angiogram of the brain was performed urgently through the emergency department and demonstrated an acute intraparenchymal hemorrhage in the occipital lobe. After medical stabilization and rehabilitation, the patient continues to have a permanent visual field deficit. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The Epley maneuver is safe and effective, and there are no prior reports of serious adverse events associated with its use. This case, in which a patient experienced a hemorrhagic stroke after undergoing the Epley maneuver, is the first and sole case in the medical literature of an Epley-associated serious adverse event. The indirect causation and extreme rarity of this event do not warrant any change to patterns of practice. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-018-0268-9","type":"journal-article","created":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T15:30:06Z","timestamp":1524151806000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Hemorrhagic stroke after Epley maneuver: A case report"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3076-4728","authenticated-orcid":false,"given":"Paige","family":"Moore","sequence":"first","affiliation":[{"name":"Department of Otolaryngology - Head & Neck Surgery, University of Manitoba, GB421 - 820 Sherbrook Street, R3A 1R9, Winnipeg, MB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trung","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head & Neck Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Blakley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head & Neck Surgery, University of Manitoba, GB421 - 820 Sherbrook Street, R3A 1R9, Winnipeg, MB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Beiko","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Manitoba, Winnipeg, MB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Meen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head & Neck Surgery, University of Manitoba, GB421 - 820 Sherbrook Street, R3A 1R9, Winnipeg, MB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,1,1]]},"reference":[{"key":"bibr1-s40463-018-0268-9","first-page":"CD003162","volume":"12","author":"Hilton MP","year":"2014","journal-title":"Cochrane Database of Syst Rev"},{"key":"bibr2-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816689667"},{"key":"bibr3-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1177\/000348945206100403"},{"key":"bibr4-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13926"},{"issue":"1","key":"bibr5-s40463-018-0268-9","first-page":"36","volume":"42","author":"Glasziou P","year":"2013","journal-title":"Aust Fam Physician"},{"key":"bibr6-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000016"},{"issue":"2","key":"bibr7-s40463-018-0268-9","volume":"8","author":"Church EW","year":"2016","journal-title":"Cureus"},{"key":"bibr8-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2013.09.005"},{"key":"bibr9-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.085894"},{"key":"bibr10-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(11)64615-6"},{"key":"bibr11-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318268d50a"},{"key":"bibr12-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1177\/014556130007900914"},{"key":"bibr13-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-982505"},{"key":"bibr14-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2016.00864"},{"key":"bibr15-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2016.00563"},{"key":"bibr16-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-63600-3.00011-8"},{"key":"bibr17-s40463-018-0268-9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2012.03004.x"}],"container-title":["Journal of Otolaryngology - Head &amp; 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