Benign Proximal Positional Vertigo Flashcards
1
Q
What is BPPV?
A
vertigo when looking up/turning in bed/bending forward/moving head quickly
2
Q
What is the pathophysiology behind BPPV?
A
otolith material from the utricle is displaced in the semicircular canals - most commonly the posterior semicircular canal
3
Q
How does BPPV present?
A
vertigo PLUS:
visual disturbance
weakness
numbness
4
Q
How is BPPV tested for?
A
Hallpikes test - shows if posterior BPPV as the iris will twist towards the ground (geotrophic)
5
Q
How is BPPV treated?
A
Epley manouvre - moves the crystals away from the ampulla and back to the vestibule - 90% are symptom free after this
6
Q
How long do episodes of BPPV last for?
A
minutes