Benign positional vertigo

benign paroxysmal positional vertigo,

recurrent vertigo and nystagmus occurring when the head is placed in certain positions. It can be debilitating and can cause difficulty in walking straight. It is usually not associated with central nervous system lesions.

observations Patients may experience the sensation of disorientation in space combined with a sensation of motion accompanied by nystagmus, nausea and/or vomiting, perspiration, pallor, increased salivation, and general malaise. Diagnosis is made by history and clinical exam in conjunction with ENG and positional testing. Audiology, ABR, CT, or MRI may be used to rule out other causes of vertigo.

interventions Treatment is focused on a series of vestibular exercises, including gait training, sets of visual vestibular head and eye movements, Epley maneuvers, and Brandt-Daroff maneuvers. If exercises provoke nausea, premedication with antiemetics may be necessary. Surgical plugging of the posterior semicircular canal may be done in individuals with an intractable recurrent pattern of vertigo attacks that are unresponsive to exercise therapy.

nursing considerations Nursing care focuses on demonstration and return demonstration of prescribed exercises.

vertigo [ver´tĭ-go]

a sensation of rotation or movement of one's self (subjective vertigo) or of one's surroundings (objective vertigo) in any plane. The term is sometimes used erroneously as a synonym for dizziness. Vertigo may result from diseases of the inner ear or may be due to disturbances of the vestibular centers or pathways in the central nervous system.

benign paroxysmal positional vertigo recurrent vertigo and nystagmus occurring when the head is placed in certain positions, usually not associated with lesions of the central nervous system.

benign positional vertigo (benign postural vertigo) benign paroxysmal positional vertigo.

central vertigo that due to disorder of the central nervous system.

cerebral vertigo vertigo resulting from a brain lesion, such as in meningogenic labyrinthitis. Called also organic vertigo.

disabling positional vertigo constant vertigo or dysequilibrium and nausea in the upright position, without hearing disturbance or loss of vestibular function.

labyrinthine vertigo Meniere's disease.

organic vertigo cerebral vertigo.

peripheral vertigo vestibular vertigo.

positional vertigo that associated with a specific position of the head in space or with changes in position of the head in space.

vestibular vertigo vertigo due to disturbances of the vestibular centers or pathways in the central nervous system.

benign paroxysmal positional vertigo

Cupulolithiasis Neurology A form of transient vertigo caused by utricular degeneration which liberates otoconia; otoconia drift into the lower part of the vestibule, the ampulla of the posterior semicircular canal; once there, the otoconia alter the cupola's specific gravity, changing its response characteristics from a purely angular acceleration detector to one that is stimulated by linear movements and gravity Incidence BPPV is a common form of vertigo which is more common in older adults Etiology Closed head injury, vestibular neuronitis, infections, post-stapedectomy Diagnosis History–single bouts of severe vertigo of < 1 min in duration, after a change in head position, often more severe on one side, when bending, when looking to take an object off a shelf, tilting the head back; the episodes are clustered in time and separated by remissions lasting months or more; most BPPV resolves spontaneously within several months of onset, especially following head injury; persistent, near disabling Sx may mandate surgery: singular neurectomy, vestibular neurectomy, or posterior semicircular canal occlusion

Mentioned in	?		References in periodicals archive	?		Medical browser	?		Full browser	?
BPPV central vertigo cerebral vertigo Epley maneuver Hallpike maneuver labyrinthine vertigo organic vertigo otic vertigo positional vertigo Semont maneuver vertigo vestibular neuronitis	In benign positional vertigo each episode lasts 15 - 30 seconds and the patient is normal between episodes. The dizzy patient--a 5-minute approach to diagnosis by Friedland, Peter / CME: Your SA Journal of CPD The study, published in the March 24, 2009, print issue of Neurology, the medical journal of the American Academy of Neurology, involved 209 people with benign positional vertigo with no known cause such as head trauma or ear surgery. Osteoporosis may raise vertigo risk by Asian News International The most common causes of vertigo are benign positional vertigo and labyrinthitis. Dizziness - Causes, Symptoms and Treatment by Peter rodrick / Health, general community	benign familial chronic pemphigus benign familial hematuria benign forgetfulness benign giant lymph node hyperplasia benign glandular inclusion benign headache benign hypertension benign inoculation lymphoreticulosis benign intracranial hypertension benign juvenile melanoma benign lymphadenopathy benign lymphocytic meningitis benign lymphoepithelial lesion benign lymphoreticulosis benign mesenchymoma benign metastasis Benign Migratory Glossitis benign mucosal pemphigoid benign myalgic encephalomyelitis Benign Neglect benign neoplasm benign nephrosclerosis benign paroxysmal peritonitis benign paroxysmal positional vertigo benign persistent hematuria Benign positional vertigo Benign prostate hyperplasia benign prostatic hyperplasia benign prostatic hypertrophy benign pseudohypertrophic muscular dystrophy benign stupor benign thrombocytosis Benign Thunderclap Headache benign tumor Benignancy Benjamin gum benne oil Benner Bennet's small corpuscle Bennett angle Bennett angle, movement Bennett fracture Bennett hand tool test Bennett's fracture Benny and the Jets Benoquin benoxaprofen benoxinate benoxinate hydrochloride Benpine benserazide	Benign Neonatal Familial Convulsion Benign neoplasm Benign neoplasm Benign neoplasm Benign neoplasms Benign neoplasms Benign neoplasms benign nephrosclerosis benign nephrosclerosis benign nephrosclerosis Benign Nocturnal Childhood Occipital Epilepsy Benign Occipital Epilepsy Benign paediatric heart murmur Benign paroxysmal peritonitis Benign paroxysmal peritonitis Benign Paroxysmal Positional Nystagmus Benign paroxysmal positional vertigo Benign paroxysmal positional vertigo Benign paroxysmal positional vertigo Benign Paroxysmal Positioning Vertigo Benign paroxysmal postural vertigo Benign paroxysmal postural vertigo Benign paroxysmal postural vertigo Benign paroxysmal postural vertigo Benign paroxysmal vertigo Benign Paroxystic Positional Vertigo Benign Partial Epilepsy in Infancy Benign Partial Seizures of Adolescence Benign Peripheral Nerve Sheath Tumours benign persistent hematuria Benign positional vertigo benign postural vertigo benign postural vertigo benign postural vertigo Benign Proliferative Breast Disease Benign Prostate Enlargement Benign Prostate Growth Benign prostate hyperplasia benign prostate-specific antigen Benign prostatic enlargement Benign prostatic enlargement benign prostatic hyperplasia benign prostatic hyperplasia benign prostatic hyperplasia benign prostatic hyperplasia Benign Prostatic Hyperplasia Impact Index Benign prostatic hypertrophy Benign prostatic hypertrophy Benign prostatic hypertrophy Benign prostatic hypertrophy benign pseudohypertrophic muscular dystrophy Benign Recurrent Intrahepatic Cholestasis Benign scapuloperoneal muscular dystrophy with early contractures Benign Sclerosing Ductal Proliferation Benign Self-Mutilation Benign Self-Mutilation Benign Senescent Forgetfulness benign stupor Benign Summer Light Eruption Benign Synovioma benign tertian malaria

Mentioned in

References in periodicals archive

Medical browser

Full browser

BPPV
central vertigo
cerebral vertigo
Epley maneuver
Hallpike maneuver
labyrinthine vertigo
organic vertigo
otic vertigo
positional vertigo
Semont maneuver
vertigo
vestibular neuronitis

In benign positional vertigo each episode lasts 15 - 30 seconds and the patient is normal between episodes.

The dizzy patient--a 5-minute approach to diagnosis by Friedland, Peter / CME: Your SA Journal of CPD

The study, published in the March 24, 2009, print issue of Neurology, the medical journal of the American Academy of Neurology, involved 209 people with benign positional vertigo with no known cause such as head trauma or ear surgery.

Osteoporosis may raise vertigo risk by Asian News International

The most common causes of vertigo are benign positional vertigo and labyrinthitis.

Dizziness - Causes, Symptoms and Treatment by Peter rodrick / Health, general community

benign familial chronic pemphigus

benign familial hematuria

benign forgetfulness

benign giant lymph node hyperplasia

benign glandular inclusion

benign headache

benign hypertension

benign inoculation lymphoreticulosis

benign intracranial hypertension