BPPV Flashcards
1
Q
What does BPPV stand for?
A
benign proximal positional vertigo
2
Q
What is BPPV?
A
- Inner ear disorder characterised by recurrent brief attacks of positional vertigo
- Most common cause of vertigo
3
Q
What does the benign part of BPPV mean?
A
no further illness, good prognosis
4
Q
What does the paroxysmal part of BPPV mean?
A
temporary and sudden onset
5
Q
What does the positional part of BPPV stand for?
A
related to body position change
6
Q
What does the vertigo part of BPPV mean?
A
sensation of head spinning
7
Q
What are 2 types of BPPV
A
- primary
- secondary
8
Q
What happens in primary BPPV?
A
- Canalith particles break loose
- Fall into wrong part of semi-circular canal of your inner ear
- Vertigo
9
Q
When does secondary BPPV happen?
A
- Migraines
- Anxiety disorder
- Head trauma
10
Q
What are RF for BPPV?
A
- Increasing age
- Female
- Migraines
- Anxiety disorders
- Head trauma
11
Q
What does the utricle contain?
A
contains calcium crystals (canaliths) which help detect movement
12
Q
When is BPPV secondary?
A
if clear precipitating event beforehand
13
Q
What are symptoms of BPPV?
A
- Lasts <1 min
- Quick onset
- Provokes by certain position (looking upwards)
- N+V
14
Q
What is Hallpike’s maenoeuvre?
A
- Patient sitting up
- Rotate head 45 degrees to one side
- Lie patient down and hold their head at 20 degree extension at edge of bed
15
Q
What investigation is used for BPPV?
A
Hallpike’s Manoeuvre
