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Benign Paroxysmal Positional Vertigo

Thomas Sanders

Other Treatment Options

Treatment

  • Semont Maneuver
  • Surgery
  • Medication
  • Waiting

Canalith Repositioning Procedure

(CRP)

Causes

Key to Treatment:

Diagnosis

HABITUATION!!!

Anatomy

  • Manual tests, head maneuvers

Dix-Hallpike

Supine Roll Test

  • 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

Symptoms

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!

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