ABSTRACT
Benign paroxysmal positional vertigo (BPPV) is a peripheral vestibular disorder that
manifests as sudden, short-lived episodes of vertigo elicited by specific head movements.
BPPV is one of the most common causes of dizziness or vertigo, and almost 10% of the
elderly population experiences BPPV. It is often self-limiting but can become chronic
and recurrent with considerable effects on a person's quality of life. Most cases
result from the migration of free-floating canalith particles into the posterior (more
commonly) or horizontal (less commonly) semicircular canals, rendering them sensitive
to gravity. Diagnosis of BPPV is based on a suggestive history and physical examination,
and other tests are not normally required. Repositioning maneuvers are highly efficacious
in resolving BPPV. Medications are not an effective treatment option. Posterior canal
occlusion surgery is highly effective and is reserved for intractable and severe cases.
KEYWORDS
BPV - BPPV - benign paroxysmal positional vertigo management - benign paroxysmal positional
vertigo treatment - benign paroxysmal positional vertigo diagnosis
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Lorne S ParnesM.D. FRCS(C)
Department of Otolaryngology, University of Western Ontario, London Health Sciences
Centre
399 Windermere Rd., London, ON N6A 5A5, Canada
eMail: parnes@uwo.ca
