Benign Paroxysmal Positional Vertigo

Michael von Brevern

doi:10.1055/s-0033-1354590

Seminars in Neurology, Table of Contents

Semin Neurol 2013; 33(03): 204-211
DOI: 10.1055/s-0033-1354590

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Benign Paroxysmal Positional Vertigo

Michael von Brevern

¹Department for Neurology, Park-Klinik Weissensee, Berlin, Germany

²Vestibular Research Group, Berlin, Germany

› Author Affiliations

Abstract

Benign paroxysmal positional vertigo (BPPV) is the most common and the most effectively treated vestibular disorder. The prevailing pathomechanism is canalolithiasis, which is otoconia falling in one of the semicircular canals where they move in response to changes of the head position, triggering excitation of the vestibular receptors of the affected canal. In the majority of patients with BPPV, the posterior canal is affected by canalolithiasis and there are two highly effective therapeutic maneuvers for treatment. About 20% of patients present with lithiasis of the horizontal or anterior canal. The author focuses on recent advances in diagnosis and treatment of the more rare variants of BPPV.

Keywords

positional vertigo - paroxysmal vertigo - dizziness - canalolithiasis - cupulolithiasis

Full Text

References

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