BPPV

Question 1

what is the most common cause of vertigo in adults?

Answer 1

• BPPV

- benign paroxysmal positional vertigo

Question 2

how does BPPV present?

Answer 2

• sudden short lasting episodes of vertigo associated with looking up, getting up and sudden head movements
• nausea

Question 3

what causes BPPV?

Answer 3

-when otoconia is displaced from the utricle and into the semicircular canals (usually posterior)

Question 4

what is the diagnostic test for BPPV?

Answer 4

• Dix Hallpike manoeuvre (move patients head from sitting up to lying down, roughly 20 degrees off bed)
• positive test if the movement triggers bouts of nystagmus (involuntary eye movement)

Question 5

what is the management for BPPV?

Answer 5

• Epley manouevre
• Semont maenouvre
• Brandt Darroff maenouvre