1 / 9

Benign Paroxysmal Positional Vertigo

Benign Paroxysmal Positional Vertigo. Dr Ahmad Alamadi MB chB, FRCS Consultant Otologist and ENT Surgeon Al Baraha Hospital. BPPV. Commonest vestibular disorder Incident 20: 100000 Coexist with other vestibular disorders. Pathophysiology.

marvel
Download Presentation

Benign Paroxysmal Positional Vertigo

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Benign Paroxysmal Positional Vertigo Dr Ahmad Alamadi MB chB, FRCS Consultant Otologist and ENT Surgeon Al Baraha Hospital

  2. BPPV • Commonest vestibular disorder • Incident 20: 100000 • Coexist with other vestibular disorders

  3. Pathophysiology • Floating particles originating from the otoliths in the utricle.

  4. Pathophysiology • original theory of cupulolithiasis (i.e. particles attached to cupula)

  5. Etiology • Spontaneous • Viral • Traumatic • Meniere’s disease • Post surgery • Migraine?

  6. History • Four steps • Sharp clear history • True rotatory vertigo • No neurological history • Positional( head up & turn in bed) lasting for seconds only, multiple attacks, no other ear symptoms

  7. Examination • Four Steps • Otologic examination normal • Neurological examination normal • Special vestibular tests normal • Diagnostic Dix-Hallpike manoeuvre rotatory geotropic nystagmus on the affected side( can have up to 10 sec delay) in post canal BPPV and horizontal nystagmus in lateral BPPV

  8. Management • Particle Repositioning Manoeuvre (PRM) • Barrel roll by Eply for lateral canal BPPV • Brandt-Daroff exercises for cupulolithiasis

  9. Surgical Management • Posterior canal occlusion • Singular neurectomy

More Related