Overview
What is the prevalence of benign paroxysmal positional vertigo (BPPV)?
What is the historical history of benign paroxysmal positional vertigo (BPPV)?
What is benign paroxysmal positional vertigo (BPPV)?
How is classic benign paroxysmal positional vertigo (BPPV) characterized?
How is nystagmus characterized in benign paroxysmal positional vertigo (BPPV)?
What is the standard clinical test for benign paroxysmal positional vertigo (BPPV)?
What are the treatment options for benign paroxysmal positional vertigo (BPPV)?
What is the role of surgery in the treatment of benign paroxysmal positional vertigo (BPPV)?
What is the pathophysiology of vertigo?
What is the canalithiasis theory of the pathogenesis of benign paroxysmal positional vertigo (BPPV)?
What is the prevalence of benign paroxysmal positional vertigo (BPPV) in the US?
What are the racial predilections o benign paroxysmal positional vertigo (BPPV)?
How does the prevalence of benign paroxysmal positional vertigo (BPPV) vary by sex?
What are the age predilections of benign paroxysmal positional vertigo (BPPV)?
Presentation
What are the signs and symptoms of benign paroxysmal positional vertigo (BPPV)?
Which physical findings are characteristic of benign paroxysmal positional vertigo (BPPV)?
What are the risk factors for benign paroxysmal positional vertigo (BPPV)?
What are the risk factors for recurrent benign paroxysmal positional vertigo (BPPV)?
DDX
What are the differential diagnoses for Benign Paroxysmal Positional Vertigo?
Workup
What is the role of lab studies in the workup of benign paroxysmal positional vertigo (BPPV)?
What is the role of imaging studies in the workup of benign paroxysmal positional vertigo (BPPV)?
Which tests are performed in the workup of benign paroxysmal positional vertigo (BPPV)?
Treatment
What are the treatment options for benign paroxysmal positional vertigo (BPPV)?
Which CRP maneuvers are effective in the treatment of benign paroxysmal positional vertigo (BPPV)?
When is surgery indicated in the treatment of benign paroxysmal positional vertigo (BPPV)?
Guidelines
Medications
What is the role of steroids in the treatment of benign paroxysmal positional vertigo (BPPV)?
Follow-up
What is the risk of recurrence of benign paroxysmal positional vertigo (BPPV)?
What are some patient education resources for benign paroxysmal positional vertigo (BPPV)?
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The patient is placed in a sitting position with the head turned 45° towards the affected side and then reclined past the supine position.
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The patient is then brought back up to the sitting position.
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Next, the patient is rolled 180° from the affected side to the opposite side. Note that the position of the head is 45° toward the affected side before the roll. The head winds up facing down, 180° away from the starting position.