definition
disorder of the inner ear
repeated episodes of positional vertigo
what can precipitate BPPV?
head injury
prolonged recumbent position
ear surgery
inner ear pathology
most common cause of vertigo in GP
BPPV
age affected
5-7 decade
women
usual course
relapsing-remitting
can recover spontaneously
recurrence common
what is done to demonstrate BPPV?
dix-hallpike test
managing BPPV
watchful waiting
epley manoeuvre
brandt-daroff exercises
meniere’s disease symptoms
episodes of vertigo
aural fullness
tinnitus
fluctuating sensorineural hearing loss
treating meniere’s
prochlorperazine
cyclizine
betahistine