BPPV (Benign Paroxysmal Positional Vertigo)

Question 1

define

Answer 1

this is when the otoconia from the utricle displaces into one of the semi-circular canals (usually the posterior)

Question 2

causes

Answer 2

idiopathic
head trauma
ear surgery

Question 3

presentation

Answer 3

dizziness lasting seconds
dizzy rolling over in bed
vertigo when looking up, turning in bed (worse on affected side), first lying down/getting up, bending forward or moving head too quickly (often only in one direction)
vertigo on rotational movement of the head

Question 4

what condition should BPPV be distinguished from?

Answer 4

vertebrobasilar insufficiency

Question 5

what is different about vertebrobasilar insufficiency?

Answer 5

there needs to be symptoms of impaired circulation in posterior brain assocaited with vertigo including visual disturbance, weakness and numbness

Question 6

diagnosis of BPPV

Answer 6

Dix-Hallpike test

Question 7

management of BPPV

Answer 7

epley manoeuvre
semont manoeuvre
Brandt-Daroff exercises (10 reps a day)