Analysis of clinical efficacy of repetitive transcranial magnetic stimulation in the treatment of residual dizziness after reduction of benign paroxysmal positional vertigo

✦ Clinical Takeaway ✦

rTMS shows potential for residual dizziness post-BPPV canalith repositioning, but findings should be considered preliminary; audiologists and vestibular specialists should await replication in larger RCTs before adopting this into practice.

✦ Why It Matters ✦

Residual dizziness after BPPV repositioning is a common, poorly-addressed clinical problem, and if rTMS proves effective it could expand neuromodulation into vestibular rehabilitation.

✦ Key Points ✦

01Residual dizziness following successful BPPV canalith repositioning affects a significant subset of patients.
02rTMS (repetitive transcranial magnetic stimulation) was evaluated as a non-pharmacological intervention for this symptom.
03Published in European Archives of Otorhinolaryngology (PMID 42062570).
04Findings may inform future vestibular neuromodulation protocols if replicated.
05Evidence level and sample size details require full-text review to confirm.

✦ Claims & Evidence ✦

ClaimEvidenceSupport

rTMS is clinically efficacious for treating residual dizziness after BPPV canalith repositioning.

studypartially supported

✦ Research metadata ✦

PMID: 42062570
DOI: 10.1007/s00405-026-10198-9.
Journal: European Archives of Oto-Rhino-Laryngology
Publication type: research_article
Evidence level: 2b
Population: Patients with residual dizziness following successful BPPV canalith repositioning procedures
Intervention: Repetitive transcranial magnetic stimulation (rTMS)

Primary outcomes

Clinical efficacy of rTMS on residual dizziness severity; Symptom reduction after rTMS treatment

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