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The affected sides of Rev-P-BPPV-Can were decided by those of typical P-BPPV-Can. Conclusion Canalolithiasis in the non-ampullary distal portion of the posterior semicircular canal may be a potential pathophysiology of Rev-P-BPPV-Can. The Epley maneuver has little effect for treating Rev-P-BPPV-Can, but spontaneous transition to typical P-BPPV-Can or spontaneous recovery is expected.Background Patients with severe renal impairment or undergoing hemodialysis are usually excluded from clinical trials. Available data regarding safety and acti