![]() ![]() Vestibular suppressants and surgery are reserved for patients with intractable or severely-disabling BPPV. Vestibular rehabilitation may be used as an adjunct to ( CRM). Canalith repositioning maneuvers ( CRM), such as the Epley maneuver, are the preferred treatment of BPPV. ![]() The classic presentation is brief episodes of dizziness reported with position changes, commonly with rolling or arising from bed. ![]() BPPV is a clinical diagnosis that is supported by a combination of characteristic features as well as the presence of nystagmus and vertigo elicited by provoking maneuvers (e.g., Dix-Hallpike test). Benign paroxysmal positional vertigo (BPPV) is a type of peripheral vertigo caused by a cluster of otoconial fragments that are displaced into the involved semicircular canal. The primary symptom of BPPV is episodic vertigo that lasts < 1 minute, triggered by sudden changes in head posture in relation to gravity (e.g., bending forwards, rapidly standing up). The Epley maneuver is also called the particle repositioning, canalith repositioning procedure, and modified liberatory maneuver. BPPV is the most common cause of peripheral vertigo. However, medications are often not effective in treating vertigo.Benign paroxysmal positional vertigo (BPPV) is a common disorder of the inner ear thought to be caused primarily by otoconia (canaliths) dislodging and migrating into one of the semicircular canals, most commonly the posterior semicircular canal, where it disrupts the endolymph dynamics.
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