Benign Positional Paroxysmal Vertigo Flashcards
1
Q
Definition
A
Inner ear dysfunction causing vertigo
Otoliths become detached in semicircular canals so when movement = stimulation of hair cells
2
Q
Causes
A
Idiopathic Head injury Post-viral illness Complication of stapes surgery Chronic middle ear diease Meniere's Disease
3
Q
Clinical Features
A
Vertigo provoked by head movement
Sudden onset lasting 20-30 mins
Nausea
Hearing not affected
4
Q
Investigations
A
Dix-Hallpike test
-Observe nystagmus and vertigo symptoms
5
Q
Management
A
GENERAL
- Advise self-limiting, moving slowly in bed
- Epley’s manoeuvre or Brandt Daroff exercises
- DVLA notification
