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. 2024 Mar-Apr;27(2):203-205.
doi: 10.4103/aian.aian_767_23. Epub 2024 Jan 18.

Direct Resolution of Horizontal Semicircular Cupulolithiasis by Zuma Plus Maneuver Vis-à-Vis Transformation to Canalolithiasis by Zuma Maneuver

Ajay Kumar Vats  1 , Shreya Vats  2 , Sudhir Kothari  3 , Renu Khamesra  4
Affiliations

Direct Resolution of Horizontal Semicircular Cupulolithiasis by Zuma Plus Maneuver Vis-à-Vis Transformation to Canalolithiasis by Zuma Maneuver

Ajay Kumar Vats et al. Ann Indian Acad Neurol. 2024 Mar-Apr.
No abstract available

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
With the patient in long-sitting position on the examination table and the head yawed maximally to the right, the patient is quickly positioned supine for 3 minutes (A and B). Thereupon, the head is quickly yawed to the left, sequentially 90° twice (C and D), maintaining 3 minutes each in the supine neutral and left lateral recumbent positions. Thereafter, the patient's neck is flexed maximally in the chin-to-cheek position and is uprighted to short sitting, completing ZM. (E). For Zuma plus maneuver, instead of uprighting the patient from position 4 (D), we inclined her head 45° to the left and maintained the nose-down position for 2 minutes (F), after which the patient was uprighted to short sitting (G)
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References

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