I AM A PHYSICAL THERAPIST THAT SPECIALIZES IN VESTIBULAR REHAB. A PATIENT CAME TO ME TODAY 2 WEEKS AFTER PERFORMING AN EPLEY MANUEVER FOR WHAT SHE SAID WAS VERTIGO. SYMPTOMS FIRST STARTED WHEN SHE ROLLED OVER IN BED AND THE ROOM STARTED SPINNING. SHE IS A NURSE AND ALONG WITH AN OTHER NURSE AT WORK THEY PERFORMED THE MANUEVER AND IT CORRECTED HER BPPV PROBLEM. NO MORE DIZZINESS AND NO MORE ISSUES WITH LYING DOWN OR ROLLING. BUT WHEN SHE GOT UP FROM THE MANUEVER AT WORK SHE FELT INTOXICATED, LIKE SHE WAS ON A BOAT. THIS HAS LASTED 13 DAYS. WHEN I OBSERVED HER IN SITTING IN MY CLINIC SHE HAD AN ANTERIOR/POSTERIOR ROCKING MOTION AS IF SHE WAS CONTANTLY CORRECTING HER STATIC SITTING BALANCE. I TESTED FOR BPPV AND SHE TESTED NEGATIVE. I BELIEVE SHE HAD BPPV AND THAT SHE WAS ABLE TO CORRECT THE PROBLEM. IN ALL THE YEARS OF MY PROFESSION I HAVE NOT SEEN A SECONDARY EFFECT LIKE HERS. IT REMINDS ME OF MAL DE BARQUEMENT SYNDROME AND CURIOUSLY ENOUGH HER SISTER EXPERIENCED MAL DE BARQUEMENT SYNDROME AFTER A CRUISE SHE WENT ON. OTHER THAN HABITUATION EXERCISES, I'M AT A LOSS ON THE TREAMENT OPTIONS. YOUR THOUGHTS