Benign positional paroxysmal vertigo (BPPV) is a common vestibular disorder that is usually straightforward to diagnose and treat. However, management can be challenging in patients with significant physical limitations. We present a case of BPPV in a 70-year-old male with severe cervical spine rigidity. Fixation of the neck prevented the use of the standard Dix-Hallpike manoeuvre. The Thomas Richard Vitton (TRV) mechanical repositioning chair was employed to perform whole-body positional testing. This approach enabled a definitive diagnosis and successful treatment. The TRV chair can improve outcomes in patients who cannot undergo conventional manoeuvres.
Villeneuve et al. (Sat,) studied this question.