BPPV

Question 1

BPPV

How can you identify “central” vertigo?

Answer 1

Central: Cerebellar dysfunction (difficulty w/ RAM, finger to nose, gait, romberg)

Peripheral: impaired balance but still able to walk

Question 2

BPPV

What is veritgo?

Answer 2

Sensation that the room is spinning (objective) or you are spinning (subjective)

Question 3

BPPV

What is BPPV?

Answer 3

vertigo induced by postural changes, caused by otoconia

Question 4

BPPV

What is the meniere’s triad?

Answer 4

vertigo, hearing loss, tinnitus

Question 5

BPPV

When to refer?

Answer 5

ENT if no improvement 2-4 weeks

Question 6

BPPV

What are contraindications for the epley maneuver?

Answer 6

neck fracture/instability, hx of unstable carotid disease, recent retinal detachment

Question 7

BPPV

Pt counselling post Epley maneuvre

Answer 7

sleep with head elevated, do not sleep with affected ear down

Question 8

BPPV

how do you perform the epley maneuvre?

Answer 8

first, dix-hallpicke.. sitting to lying with head turned 45 degrees to the affected side… then turn head 90 degrees to the other side… then another 90 degrees so they are on their side, then sit up with chin to chest