Benign paroxysmal positional vertigo Flashcards
(10 cards)
Benign paroxysmal positional vertigo
sudden onset of dizziness and vertigo triggered by changes in head position
Age for benign prostate hyperplasia
Onset around 55
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Features of benign paroxysmal positional vertigo
triggered by change in head position (e.g. rolling over in bed or gazing upwards)
may be associated with nausea
each episode typically lasts 10-20 seconds
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How to confirm diagnosis of benign paroxysmal positional vertigo ?
positive Dix-Hallpike manoeuvre, indicated by:
patient experiences vertigo
rotatory nystagmus
BPPV has a good prognosis and usually resolves spontaneously after a few weeks to months. Symptomatic relief may be gained by
Epley manoeuvre (successful in around 80% of cases)
teaching the patient exercises they can do themselves at home, termed vestibular rehabilitation, for example Brandt-Daroff exercises
Beta histine - limited value
Around half of people with BPPV will have a
Reoccurrence