Benign Paroxysmal Positional Vertigo

Key points

• Benign paroxysmal positional vertigo Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo encountered.
• vertigo triggered by change in head position (e.g. rolling over in bed or gazing upwards)
• may be associated with nausea
• each episode typically lasts 10-20 seconds
• positive Dix-Hallpike manoeuvre BPPV has a good prognosis and usually resolves spontaneously after a few weeks to months. Symptomatic relief may be gained by: