Benign Paroxysmal Positional Vertigo (BPPV) Quiz

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Unnati Patel, MD, MSc

Unnati Patel, MD, MSc (Family Medicine)

Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.

Rohini R, MD

Rohini R, MD (Otolaryngology (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

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Content updated on Apr 4, 2024

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  • Dizzy when standing up

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What is Benign Paroxysmal Positional Vertigo (BPPV)?

Benign paroxysmal positional vertigo occurs when calcium crystals become trapped in the semicircular canals, a part of the inner ear that controls balance. Usually, only one ear is affected. It is characterized by sudden vertigo (a feeling of instability and the room spinning) due to abrupt changes in head position.

Typical Symptoms of Benign Paroxysmal Positional Vertigo (BPPV)

  • Dizziness

  • Nausea when moving my head

  • I feel like I'm spinning around / vertigo

  • Repeated dizziness / vertigo

  • Dizziness when turning over in bed after waking up

  • Dizziness when tilting the head upwards

  • Headache

  • Nausea or vomiting

Doctor's Diagnostic Questionson Benign Paroxysmal Positional Vertigo (BPPV)

Your doctor may ask these questions to check for this disease:

  • Are you currently dizzy?

  • Do you feel nauseous when moving your head?

  • Do you feel like your surroundings are spinning?

  • Do you experience repeated episodes of dizziness/vertigo?

  • Did you feel dizzy when you turned in bed?

Treatmentof Benign Paroxysmal Positional Vertigo (BPPV)

BPPV may resolve on its own within a few weeks. A doctor may also perform a simple repositioning maneuver to relocate the trapped crystals causing BPPV and may recommend exercises and physical therapy.

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View the symptoms of Benign Paroxysmal Positional Vertigo (BPPV)

  • Dizziness

  • Headache

  • Nausea or vomiting

Diseases related to Benign Paroxysmal Positional Vertigo (BPPV)

References

  • Lou Y, Cai M, Xu L, Wang Y, Zhuang L, Liu X. Efficacy of BPPV diagnosis and treatment system for benign paroxysmal positional vertigo. Am J Otolaryngol. 2020 May-Jun;41(3):102412. doi: 10.1016/j.amjoto.2020.102412. Epub 2020 Feb 4. PMID: 32057490.

    https://www.sciencedirect.com/science/article/abs/pii/S0196070920300831?via%3Dihub

  • Vaduva C, Estéban-Sánchez J, Sanz-Fernández R, Martín-Sanz E. Prevalence and management of post-BPPV residual symptoms. Eur Arch Otorhinolaryngol. 2018 Jun;275(6):1429-1437. doi: 10.1007/s00405-018-4980-x. Epub 2018 Apr 23. PMID: 29687182.

    https://link.springer.com/article/10.1007/s00405-018-4980-x

  • Jacobson GP; Editor-in-Chief. The "Reversal Nystagmus" in BPPV. J Am Acad Audiol. 2021 Jan;32(1):1-2. doi: 10.1055/s-0041-1723791. Epub 2021 Apr 19. PMID: 33873211.

    https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0041-1723791

  • Uz U, Uz D, Akdal G, Çelik O. Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV. J Int Adv Otol. 2019 Dec;15(3):420-424. doi: 10.5152/iao.2019.6483. PMID: 31846923; PMCID: PMC6937179.

    https://advancedotology.org//en/efficacy-of-epley-maneuver-on-quality-of-life-of-elderly-patients-with-subjective-bppv-131456

  • BPPV - Mayo Clinic

    https://www.mayoclinic.org/diseases-conditions/vertigo/symptoms-causes/syc-20370055

User Testimonials

Reviewed By:

Unnati Patel, MD, MSc

Unnati Patel, MD, MSc (Family Medicine)

Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.

Rohini R, MD

Rohini R, MD (Otolaryngology (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

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