Benign paroxysmal positional vertigo Flashcards
BBPV
Peripheral cause of vertigo (problem located in the ear rather than in the brain)
Features
Vertigo triggered by change in head position
May be associated with nausea
Lasts 10-20 seconds
NO hearing loss or tinitus
Pathophysiology
Calcium carbonate crystals (otoconia) become displaced into the semicircular canals
Most often in the posterior semicircular canal
Disrupt the flow of endolymph through the canals, confusing the vestibular system
Dix-Hallpike Manoeuvre
Moves patient so that endolymph moves through semicircular canals and triggers vertigo in patients with BPPV
Make sure they have no neck pain or pathology before
Epley manoeuvre
Used to treat BPPV
Moves crystals in the semicircular canals into position that does not disrupt enolymph flow