BPPV Normal physiology Pathophysiology – a positioning vertigo Diagnosis – correlating disease with symptoms and signs Cure – The Epley Manoeuvre Place.

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Presentation transcript:

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