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For Horizontal Canal BPPV The Gufoni maneuver is used to treat horizontal canal BPPV—a less common but often intense form of positional vertigo that typically causes spinning when rolling side-to-side in bed. What makes it different: 🧠 Horizontal canal BPPV often causes stronger, longer-lasting spinning than the typical posterior canal type ↔️ Symptoms are usually triggered by rolling to either side ⚡ Eye movements (nystagmus) beat horizontally instead of vertically Why the Gufoni works: ✔️ It quickly repositions loose crystals out of the horizontal canal ✔️ It’s often faster and more comfortable than repeated rolling maneuvers ✔️ When matched correctly to the affected side, it can be a true game-changer Important:Correct diagnosis matters. The direction of eye movement determines which side to treat and how the maneuver is performed. This is precision work—not guessing. Less common. Highly treatable. Huge relief when done right.