Benign Positional Paroxysmal Vertigo(BPPV)

Question 1

what are some of the causes of BPPV

Answer 1

head trauma, ear surgery, idiopathic

Question 2

describe the prevalence of BPPV

Answer 2

very common, commonest cause of vertigo on looking up

Question 3

describe the pathophysiology of BPPV

Answer 3

otoconia(crystals) from utricle displaced into semi-circular canals, most commonly into posterior semi-circular canal

Question 4

what presenting complaints are very suggestive of BPPV

Answer 4

vertigo on; looking up, turning in bed, first lying down, first getting up, bending down, moving head quickly

Question 5

what is the diagnostic test for BPPV

Answer 5

Dix Hallpike test

Question 6

what type of nystagmus is seen in BPPV

Answer 6

vertical and torsional geotropic nystagmus

Question 7

what are the different treatments used for BPPV

Answer 7

Repositioning by; Epley Manoeuvre, Semont Manoeuvre, Brandt-Daroff Exrercises

Question 8

what is the most commonly used treatment for BPPV

Answer 8

Epley manoeuvre

Question 9

when is Brandt-Daroff excercises a useful treatment for BPPV

Answer 9

can be done at home by patient and so are good for chronic BPPV

Question 10

what is the principle of treatment for BPPV

Answer 10

trying to return otoconia from posterior semi-circular canal to the utricle/vestibule

Question 11

describe the success of Epley manoeuvre

Answer 11

70-75% treated with single manoeuvre, 90% symptom free with two