Benign Paroxysmal Positional Vertigo

Question 1

Benign paroxysmal positional vertigo (BPPV)

Answer 1

• one of most common causes of vertigo
• usually onset > 55 years

Question 2

Clinical features in BPPV

Answer 2

• sudden onset vertigo provoked by changes in head position
• nausea and vomiting
• episodes last 10-20s
• Dix-hallpike positive, rotatary nystagmus

Question 3

Testing for BPPV

Answer 3

• perform Dix-hallpike manaeouver
• test will be positive, invoking vertigo
• will see rotatary nystagmus

Question 4

Managing BPPV

Answer 4

• epleys maneouver
• brandt-daroff maneouver