Benign paroxysmal positional vertigo Flashcards
Benign paroxysmal positional vertigo
sudden onset of dizziness and vertigo triggered by changes in head position
Age for benign prostate hyperplasia
Onset around 55
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Features of benign paroxysmal positional vertigo
triggered by change in head position (e.g. rolling over in bed or gazing upwards)
may be associated with nausea
each episode typically lasts 10-20 seconds
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How to confirm diagnosis of benign paroxysmal positional vertigo ?
positive Dix-Hallpike manoeuvre, indicated by:
patient experiences vertigo
rotatory nystagmus
BPPV has a good prognosis and usually resolves spontaneously after a few weeks to months. Symptomatic relief may be gained by
Epley manoeuvre (successful in around 80% of cases)
teaching the patient exercises they can do themselves at home, termed vestibular rehabilitation, for example Brandt-Daroff exercises
Beta histine - limited value
Around half of people with BPPV will have a
Reoccurrence