Benign paroxysmal positional vertigo

Question 1

Benign paroxysmal positional vertigo (BPPV)

Answer 1

it is one of the most common causes of vertigo

average age of onset is 55 and less common in younger patients

Question 2

characteristic feature of Benign paroxysmal positional vertigo

Answer 2

sudden onset of dizziness and vertigo triggered by changes in head position

Question 3

presentation of Benign paroxysmal positional vertigo

Answer 3

vertigo triggered by change in head position - rolling over in bed or gazing upwards

nausea sometimes

each episode last 10-20 seconds

positive Dix-Hallpike manoeuvre

Question 4

management of benign paroxysmal positional vertigo

Answer 4

epley manoeuvre (80% of cases)

exercises

BPPV prognosis is generally good and resolves spontaneously after few weeks or months

Betahistine sometimes used but are of low value