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Benign Paroxysmal Positional Vertigo

Benign Paroxysmal Positional Vertigo (BPPV) is a condition where vertigo (a sensation of spinning) is brought on by changing the position of the head (e.g. looking up, bending down, rolling over in bed)

Treatment for Benign Paroxysmal Positional Vertigo

This illustration shows the location of the sediment in the semicircular canals after a repositioning maneuver has been performed.

Treatment is canal specific and is determined by the results of the Dix-Hallpike and Roll Tests. The most effective treatment for posterior canal BPPV is a particle repositioning maneuver commonly called the Epley maneuver.  The maneuver consists of the practitioner moving the patient's head through sequential positions in an attempt to move the displaced otoconia out of the semicircular canal.  The practitioner may prescribe the home Epley maneuver to enhance the effectiveness of the treatment.  Although anterior and lateral canal BPPV are less common, they can be treated with other repositioning maneuvers.