Benign paroxysmal positional vertigo (BPPV) Flashcards
1
Q
Average age of onset of BPPV
A
55 years
2
Q
Clinical features
A
- vertigo triggered by change in head position
- nausea lasting 10-20s
- rotatory nystagmus
3
Q
What test is positive in BPPV
A
positive Dix-Hallpike manoeuvre
4
Q
How long does it take for BPPV to resolve?
A
few weeks to months.
5
Q
Immediate symptomatic relief can be achieved by…?
A
Epley manoeuvre
6
Q
Medication is often prescribed (e.g. Betahistine). Is it of value in BPPV?
A
No - of limited value
Better to teach patient exercises they can do themselves at home (Brandt-Daroff exercises) to provide symptom relief
7
Q
How soon after the first episode of BPPV will patients symptoms recur?
A
3–5 years after their diagnosis
8
Q
A
