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Benign paroxysmal positional vertigo (BPPV) - Coggle Diagram
Benign paroxysmal positional vertigo (BPPV)
Clinical Manifestation
A sense that surrounding or spinning
Nausea and Vomiting
Dizzness
Involuntary movements of your eyes from side to side
A loss of balance
Pathophysiology
It is the most common causes of vertigo, the sudden sensation that spinning or that the inside the head is spinning.
BPPV causes brief of mild to intense dizziness. It is usually triggered by specific changes in your head position
It occurs when the tip of head up or down, when you lie down, or when turn over or sit up in bed
Aetiology
Often, there is no known cause for BPPV. This is called idiopathic BPPV.
When there is a known cause, BPPV is often associated with a minor to severe blow to your head
Less common causes of BPPV include disorders that damage your inner ear or, rarely, damage that occurs during ear surgery
Risk Factors
Benign paroxysmal positional vertigo occurs most often in people age 50 and older, but can occur at any age
BPPV is also more common in women than in men.
A head injury or any other disorder of the balance organs of your ear may make you more susceptible to BPPV.
Treatment & Management
Audiologist or physical therapist may treat you with a series of movements known as the canalith repositioning procedure.
Canalith repositioning procedure consists of several simple and slow maneuvers for positioning your head.
The goal is to move particles from the fluid-filled semicircular canals of your inner ear into a tiny baglike open area (vestibule) that houses one of the otolith organs in your ear
If Canalith repositioning procedure doesn't work, Doctor may recommend a surgical procedure
In this procedure, a bone plug is used to block the portion of the inner ear that is causing dizziness. The plug prevents the semicircular canal in your ear from being able to respond to particle movements
References
Barton JJS, et al. Benign paroxysmal positional vertigo.
https://www.uptodate.com/contents/search
. Accessed July 17, 2020
Johns Hopkins Medicine: “Benign Paroxysmal Positional Vertigo (BPPV),” “Home Epley Maneuver". August 2018.