Otolaryngology Book

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Benign Paroxysmal Positional Vertigo

Aka: Benign Paroxysmal Positional Vertigo, Paroxysmal Positional Vertigo
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  1. See Also
    1. Vertigo
  2. Pathophysiology
    1. Ear trauma may precipitate
    2. Temporary displacement of otolith
      1. Displaced onto gelatinous capsule
      2. Involves posterior semicircular canal
    3. Symptoms persist until otolith (loose bodies) resorbed
  3. Symptoms
    1. Only change of head position triggers Vertigo
      1. Provoked by turning onto one side (not the other)
      2. Vertigo with vertical head movements
        1. Provoked by extending neck while looking up
      3. Recurs with similar movement
      4. Asymptomatic at rest
    2. Duration
      1. Environment spins for 10-20 sec, then resolves
    3. Timing
      1. Occurs at night while recumbent
  4. Signs
    1. Dix-Hallpike Maneuver elicits symptoms
  5. Differential Diagnosis
    1. See Vertigo Causes
    2. Diagnosis of exclusion
    3. Rule out CNS and Ear organic disease
  6. Management
    1. See Vertigo Management
    2. See Canalith Repositioning Procedure
    3. Supportive care
    4. Meclizine (Antivert)
    5. Diazepam
  7. Course
    1. Self limited
    2. Symptoms resolve in 4-6 weeks
    3. Prolonged disabling symptoms in 33% of patients
  8. References
    1. Baloh (1987) Neurology 37:371-8
    2. Baloh (1999) Postgrad Med 105(2):161-72

Benign paroxysmal positional vertigo (C0155502)

Concepts Disease or Syndrome (T047)
MSH C535431
ICD9 386.11
SnomedCT 111541001, 267763004
English BENIGN POSITIONAL VERTIGO, NYSTAGMUS, PAROXYSMAL POSITIONAL, BENIGN, NYSTAGMUS, POSITIONAL, LABYRINTHINE, VERTIGO, PAROXYSMAL POSITIONAL, BENIGN, BPPV - Ben parox posit vertigo, Benign parox positionl vertigo, VERTIGO, BENIGN PAROXYSMAL POSITIONAL, benign paroxysmal positional nystagmus (diagnosis), benign paroxysmal positional vertigo, benign paroxysmal positional vertigo (diagnosis), benign paroxysmal positional nystagmus, Benign positional vertigo, VERTIGO BENIGN POSITIONAL, Benign parxysmal vertigo, BPPV (benign paroxysmal positional vertigo), VESTIBULOPATHY, FAMILIAL, Familial vestibulopathy, Benign paroxysmal positional vertigo, Familial benign recurrent vertigo, positional vertigo benign, Vertigo;benign positional, vertigo benign positional, positional benign vertigo, BPPV, Benign paroxysmal postural vertigo, Benign paroxysmal positional nystagmus, BPPV - Benign paroxysmal positional vertigo, Benign paroxysmal positional vertigo (disorder), benign positional vertigo, Vertigo, benign positional
Dutch BPPV, benigne paroxysmale houdingsafhankelijke draaiduizeligheid, benigne paroxysmale positionele draaiduizeligheid, benigne positionele draaiduizeligheid
French VPPB (Vertige paroxystique positionnel bénin), Vertige positionnel bénin, Vertige positionnel paroxystique bénin, Vertige paroxystique positionnel bénin
German gutartiger paroxysmaler Lagerungsschwindel, BPPV, gutartiger Lagerungsschwindel
Italian Vertigine posturale parossistica benigna, Vertigine posturale benigna
Portuguese Vertigem paroxística benigna de posição, Vertigem benigna de posição, Vertigem ortostática paroxística benigna
Spanish Vértigo posicional paroxístico benigno (BPPV), Vértigo posicional paroxístico benigno, Vértigo paroxístico posicional benigno, Vértigo postural benigno, Vertigo, benign positional, nistagmo posicional paroxístico benigno, vértigo posicional paroxístico benigno (trastorno), vértigo posicional paroxístico benigno
Japanese 良性発作性体位性回転性めまい, 良性発作性頭位性回転性めまい, 良性頭位性回転性めまい, ＢＰＰＶ, ﾘｮｳｾｲﾄｳｲｾｲｶｲﾃﾝｾｲﾒﾏｲ, ﾘｮｳｾｲﾎｯｻｾｲﾄｳｲｾｲｶｲﾃﾝｾｲﾒﾏｲ, ﾘｮｳｾｲﾎｯｻｾｲﾀｲｲｾｲｶｲﾃﾝｾｲﾒﾏｲ, BPPV
Czech Benigní paroxysmální polohové vertigo, Benigní polohové vertigo, BPPV
Hungarian BPPV, Benignus paroxysmalis positionalis vertigo, Benignus positionalis vertigo
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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