31 - Benign Paroxysmal Positional Vertigo (BPPV)

Question 1

Typical clinical picture of BPPV?

Answer 1

Intermittent transient episodes of vertigo, typically lasting less than 1 minute, brought on by specific movements and positions of the head relative to gravity

• nausea and vomiting may occur
• hearing is unaffected
• tinnitus is not present

Question 2

What is a positive Dix-Hallpike manoeuvre indicative of?

Answer 2

BPPV

Question 3

What is the initial management of BPPV?

Answer 3

Epley manoeuvre