Benign paroxysmal positional vertigo (BPPV)


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Definition

By Mayo Clinic staff

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you're spinning or that the inside of your head is spinning.

Benign paroxysmal positional vertigo is characterized by brief episodes of mild to intense dizziness. Symptoms of benign paroxysmal positional vertigo are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.

Although benign paroxysmal positional vertigo can be a bothersome problem, it's rarely serious except when it increases the chance of falls. You can receive effective treatment for benign paroxysmal positional vertigo during a doctor's office visit.

References
  1. Benign paroxysmal positional vertigo (BPPV). Vestibular Disorders Association. http://www.vestibular.org/vestibular-disorders/specific-disorders/bppv.php. Accessed March 19, 2012.
  2. Benign paroxysmal positional vertigo. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec08/ch086/ch086c.html. Accessed March 19, 2012.
  3. Lalwani AK. Current Diagnosis & Treatment in Otolaryngology — Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=55771949. Accessed March 19, 2012.
  4. Sismanis A. Surgical management of common peripheral vestibular diseases. Current Opinion in Otolaryngology & Head and Neck Surgery. 2010;18:431.
  5. Clinch CR, et al. What is the best approach to benign paroxysmal positional vertigo in the elderly? The Journal of Family Practice. 2010;59:295.
  6. Post RE, et al. Dizziness: A diagnostic approach. American Family Physician. 2010;82:361.
  7. Helminski JO, et al. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: A systematic review. Physical Therapy. 2010;90:663.
DS00534 July 10, 2012

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