RT Journal Article
SR Electronic
T1 Benign paroxysmal positional vertigo: Effective diagnosis and treatment
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 653
OP 662
DO 10.3949/ccjm.89a.21057
VO 89
IS 11
A1 Cole, Shayna R.
A1 Honaker, Julie A.
YR 2022
UL http://www.ccjm.org/content/89/11/653.abstract
AB Benign paroxysmal positional vertigo (BPPV), caused by wayward crystals (“rocks”) in the semicircular canals of the inner ear, is the most common cause of brief symptoms of vertigo secondary to head and body movements. Diagnosing and treating it are simple to do in the medical office. This article reviews the differential diagnosis for patients presenting with dizziness and vertigo, the pathophysiology of BPPV, how to diagnose it using maneuvers to elicit symptoms and nystagmus, how to interpret the nystagmus pattern to determine where the rocks are, and how to treat it using different maneuvers to reposition (“roll”) the rocks back where they belong.