What is the best way to clear anterior canal cupulolithiasis bppv? are the symptoms with cupulolithiasis more severe than just positional dizziness. ihave a persistent downbeat torsional nystagmus.

Therapy: there is no surgery or drugs, the only way to over come this is with therapy, i.e. vestibular training. I would enquire whether a local physical therapy facility in your region offers this therapy

Vestibular rehab: See a Physical Therapist with experience performing canalith repositioning. This can help for both traditional positional vertigo and cupulolithiasis. When in doubt, see and ENT for evaluation if needed.