BPPV Normal physiology Pathophysiology – a positioning vertigo Diagnosis – correlating disease with symptoms and signs Cure – The Epley Manoeuvre Place of drugs – none
BPPV C >
Animation
C >
Correlate pathophysiology with symptoms Symptoms only occur when a particular SCC is stimulated The duration of an individual episode of vertigo is typical – seconds only Episodes come in spells
Diagnosis and Cure The Dix Hallpike test is diagnostic The Epley Manoeuvre is curative
Dix 1
Dix 2
Dix 2b
Right Ear Downwards
Characteristics of the nystagmus Latent period – it doesn’t start immediately Duration – less than a minute Geotropic – towards the undermost ear Reversed – when sitting up Fatigable – less severe on second test
Epley