Benign paroxysmal positional vertigo: Effective diagnosis and

Cleve Clin J Med · Nov 2022

Review

Benign paroxysmal positional vertigo: Effective diagnosis and treatment.

Benign paroxysmal positional vertigo (BPPV), caused by wayward crystals ("rocks") in the semicircular canals of the inner ear, is the most common cause of brief symptoms of vertigo secondary to head and body movements. Diagnosing and treating it are simple to do in the medical office. This article reviews the differential diagnosis for patients presenting with dizziness and vertigo, the pathophysiology of BPPV, how to diagnose it using maneuvers to elicit symptoms and nystagmus, how to interpret the nystagmus pattern to determine where the rocks are, and how to treat it using different maneuvers to reposition ("roll") the rocks back where they belong.

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- Shayna R Cole and Julie A Honaker.
- Vestibular Clinical Audiologist, The Balance Center, Fort Wayne, IN.
- Cleve Clin J Med. 2022 Nov 1; 89 (11): 653-662.
AbstractBenign paroxysmal positional vertigo (BPPV), caused by wayward crystals ("rocks") in the semicircular canals of the inner ear, is the most common cause of brief symptoms of vertigo secondary to head and body movements. Diagnosing and treating it are simple to do in the medical office. This article reviews the differential diagnosis for patients presenting with dizziness and vertigo, the pathophysiology of BPPV, how to diagnose it using maneuvers to elicit symptoms and nystagmus, how to interpret the nystagmus pattern to determine where the rocks are, and how to treat it using different maneuvers to reposition ("roll") the rocks back where they belong.Copyright © 2022 The Cleveland Clinic Foundation. All Rights Reserved.

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Benign paroxysmal positional vertigo: Effective diagnosis and treatment.

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