Benign Paroxysmal Positional Vertigo
Thomas Sanders
Other Treatment Options
Treatment
- Semont Maneuver
- Surgery
- Medication
- Waiting
Canalith Repositioning Procedure
(CRP)
Key to Treatment:
Diagnosis
Anatomy
- Manual tests, head maneuvers
Dix-Hallpike
- Under 50: Fall/Head injury
- Concussive force
- Over 50: Idiopathic
- Other causes: damage to inner ear, damage during ear surgery, prolonged supine position
- Associated with migraines
Other Diagnostic Tests
- Electronystagmography
- Videonystagmography
- MRI
- Frenzel goggles
What is BPPV?
Effect on the Inner Ear
HEP:
- Dizziness
- Lightheadedness
- Sense of spinning
- Blurred vision
- Unsteadiness/Loss of balance
- Nausea/Vomiting
- Otoconia
- Semicircular canals
- Otoconia shift
- Cupula stimulated
Brandt-Daroff exercises
Moving head with respect to gravity!
Activities?
-Posterior Canal: looking up, rolling over, getting out of bed
- Can be short in duration (less than one minute) or long lasting
- Has potential to be very disruptive to individual's daily life
Subtypes
**INCREASED RISK OF FALLS!!!
BPPV
Helpful Resource
- Most common vestibular disorder
- Benign
- Paroxysmal= sudden!
- Positions?
- Canalithiasis vs Cupulothiasis
- Unilateral > Bilateral
- Posterior Canal= 81-90% of cases
www.Vestibular.org
Thank You!