Which of the following is NOT a contraindication to performing the Epley maneuver?

The Epley maneuver is a specific treatment technique designed to address benign paroxysmal positional vertigo (BPPV), which is caused by the dislodging of otoliths in the inner ear. The goal of the maneuver is to reposition these particles within the ear canal, thereby alleviating the vertigo symptoms associated with BPPV.

In this context, identifying BPPV as not being a contraindication is essential because the Epley maneuver is specifically tailored for this condition. When a patient presents with BPPV, the application of the maneuver is not only appropriate but often necessary for effective treatment. It is important to note that while there are certain medical conditions that may complicate the performance of the maneuver—such as unstable heart conditions, severe carotid artery stenosis, or cervical spondylosis with myelopathy—BPPV itself is the very condition that the Epley maneuver seeks to treat. Thus, it is entirely appropriate to carry out the maneuver on patients diagnosed with BPPV, making it the correct answer to the question.