BPPV Flashcards
1
Q
what is BPPV characterised by?
A
sudden onset dizziness and vertigo triggered by changes in head position
2
Q
what is the average age of onset?
A
55 years, less common in younger pts
3
Q
what are the features of BPPV?
A
- vertigo triggered by change in head position (e.g. rolling over in bed/gazing upwards)
- may be assoc. w nausea
- each episode typically lasts 10-20 secs
- +ve Dix-Hallpike manoeuvre
4
Q
what is the prognosis for BPPV?
A
good Px, usually resolves spontaneously after a few weeks-months
sx can recur 3-5 years after dx
5
Q
how can symptomatic relief be gained for BPPV?
A
- Epley manoeuvre
- teaching pt exercises they can do themselves at home (vestibular rehabilitation)
6
Q
what medication is often prescribed, but is often of limited value?
A
betahistine