1. BPPV Normal physiology Pathophysiology – a positioning vertigo Diagnosis – correlating disease with symptoms and signs Cure – The Epley Manoeuvre Place of drugs – none

4. BPPV C >

7. Animation

8. C >

9. 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

10. Diagnosis and Cure The Dix Hallpike test is diagnostic The Epley Manoeuvre is curative

11. Dix 1

12. Dix 2

13. Dix 2b

14. Right Ear Downwards

18. 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

19. Epley