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Pathophysiology and Diagnosis of BPPV

  • Benjamin Campbell
  • Kyle Kimura
  • Robert Yawn
  • Marc BennettEmail author
Chapter

Abstract

Benign paroxysmal positional vertigo (BPPV), a disorder of the inner ear characterized by sudden, repeated episodes of positional vertigo, is the most common of the peripheral vestibular disorders and is believed to be the leading cause of vertigo worldwide. It has a favorable prognosis for recovery, with approximately 50% of cases resolving spontaneously within 3 months, and is rarely associated with any serious underlying CNS disorder [1–3].

Keywords

Vertigo BPPV Postitional dizziness 

References

  1. 1.
    Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology. 1987;37:371–8.CrossRefGoogle Scholar
  2. 2.
    Lynn S, Pool A, Rose D, Brey R, Suman V. Randomized trial of the canalith repositioning procedure. Otolaryngol Head Neck Surg. 1995;113:712–20.CrossRefGoogle Scholar
  3. 3.
    Burton MJ, Eby TL, Rosenfeld RM. Extracts from the Cochrane Library: modifications of the Epley (canalith repositioning) maneuver for posterior canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2012;147:407–11.CrossRefGoogle Scholar
  4. 4.
    Schappert SM. National Ambulatory Medical Care Survey: 1989 summary. Vital Health Stat. 1992;13(110):1–80.Google Scholar
  5. 5.
    von Brevern M, Radtke A, Lezius F. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. 2007;78:710–5.CrossRefGoogle Scholar
  6. 6.
    Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, Holmberg JM, Mahoney K, Hollingsworth DB, Roberts R, Seidman MD, Steiner RWP, Do BT, Voelker CCJ, Waguespack RW, Corrigan MD. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg. 2017;156(3):S1–S47.CrossRefGoogle Scholar
  7. 7.
    Neuhauser HK, Lempert T. Vertigo: epidemiologic aspects. Semin Neurol. 2009;29:473–81.CrossRefGoogle Scholar
  8. 8.
    Benecke H, Agus S, Kuessner D, Goodall G, Strupp M. The burden and impact of vertigo: findings from the REVERT patient registry. Front Neurol. 2013;4:136.CrossRefGoogle Scholar
  9. 9.
    Tehrani ASS, Coughlan D, Hsieh YH, Mantokoudis G, Korley FK, Kerber KA, Frick KD, Newman-Toker DE. Rising annual costs of dizziness presentations to U.S. emergency departments. Acad Emerg Med. 2013;20(7):689–96.CrossRefGoogle Scholar
  10. 10.
    Wang H, Yu D, Song N, Yin S. Delayed diagnosis and treatment of benign paroxysmal positional vertigo associated with current practice. Eur Arch Otorhinolaryngol. 2014;271:261–4.CrossRefGoogle Scholar
  11. 11.
    Grill E, Strupp M, Müller M, Klaus J. Health services utilization of patients with vertigo in primary care: a retrospective cohort study. J Neurol. 2014;261:1492–8.CrossRefGoogle Scholar
  12. 12.
    Karlberg M, Hall K, Quickert N, Hinson J, Halmagyi GM. What inner ear diseases cause benign paroxysmal positional vertigo? Acta Otolarygnol. 2000;120(3):380–5.CrossRefGoogle Scholar
  13. 13.
    Atacan E, Sennaroglu L, Genc A, Kaya S. Benign paroxysmal positional vertigo after stapedectomy. Laryngoscope. 2001;111(7):1257–9.CrossRefGoogle Scholar
  14. 14.
    Vibert D, Kompis M, Hausler R. Benign paroxysmal positional vertigo in older women may be related to osteoporosis and osteopenia. Ann Otol Rhinol Laryngol. 2003;112:885–9.CrossRefGoogle Scholar
  15. 15.
    Aksoy S, Sennaroglu L. Benign paroxysmal vertigo in swimmers. Kulak Burun Bogaz Ihtis Derg. 2007;17(6):307–10.PubMedGoogle Scholar
  16. 16.
    Fife TD. Benign paroxysmal positional vertigo. Semin Neurol. 2009;29:500–8.CrossRefGoogle Scholar
  17. 17.
    Cakir BO, Ercan I, Cakir ZA. What is the true incidence of horizontal semicircular canal benign paroxysmal positional vertigo? Otolaryngol Head Neck Surg. 2006;134:451–4.CrossRefGoogle Scholar
  18. 18.
    Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003;169:681–93.PubMedPubMedCentralGoogle Scholar
  19. 19.
    Imai T, Ito M, Takeda N. Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo. Neurology. 2005;64:920–1.CrossRefGoogle Scholar
  20. 20.
    Califano L, Vassallo A, Melillo MG, Mazzone S, Salaria F. Direction-fixed paroxysmal nystagmus lateral canal benign paroxysmal positional vertigo (BPPV): another form of lateral canalolithiasis. Acta Otorhinolaryngol Ital. 2013;33(4):254–60.PubMedPubMedCentralGoogle Scholar
  21. 21.
    Lopez-Escamez JA, Lopez-Nevot A, Gamiz MJ. Diagnosis of common causes of vertigo using a structured clinical history. Acta Otorrinolaringol Esp. 2000;51:25–30.PubMedGoogle Scholar
  22. 22.
    Hanley K, O’Dowd T. Symptoms of vertigo in general practice: a prospective study of diagnosis. Br J Gen Pract. 2002;52:809–12.PubMedPubMedCentralGoogle Scholar
  23. 23.
    von Brevern M, Bertholon P, Brandt T. Benign paroxysmal positional vertigo: diagnostic criteria. J Vestib Res. 2015;25:105–17.CrossRefGoogle Scholar
  24. 24.
    Humphriss RL, Baguley DM, Sparkes V, Peerman SE, Moffat DA. Contraindications to the Dix-Hallpike manoeuvre: a multidisciplinary review. Int J Audiol. 2003;42(3):166–73.CrossRefGoogle Scholar
  25. 25.
    Furman JM, Cass SP. Benign paroxysmal positional vertigo. N Engl J Med. 1999;341:1590–6.CrossRefGoogle Scholar
  26. 26.
    Heidenreich KD, Kerber KA, Carender WJ. Persistent positional nystagmus: a case of superior semicircular canal benign paroxysmal positional vertigo? Laryngoscope. 2011;121:1818–20.CrossRefGoogle Scholar
  27. 27.
    Casani AP, Nacci A, Dallan I. Horizontal semicircular canal benign paroxysmal positional vertigo: effectiveness of two different methods of treatment. Audiol Neurootol. 2011;16:175–84.CrossRefGoogle Scholar
  28. 28.
    Lopez-Escamez JA, Molina MI, Gamiz MJ. Anterior semicircular canal benign paroxysmal positional vertigo and positional downbeating nystagmus. Am J Otolaryngol. 2006;27:173–8.CrossRefGoogle Scholar
  29. 29.
    Fife TD. Positional dizziness. Continuum (Minneapolis, Minn). 2012;18(5, neuro-otology):1060–85.Google Scholar
  30. 30.
    Nuti D, Agus G, Barbieri MT. The management of horizontal-canal paroxysmal positional vertigo. Acta Otolaryngol. 1998;118:455–60.CrossRefGoogle Scholar
  31. 31.
    Fife TD, Iverson DJ, Lempert T. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2008;70:2067–74.CrossRefGoogle Scholar
  32. 32.
    Fife D, FitzGerald JE. Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice. Int J Audiol. 2005;44:50–7.CrossRefGoogle Scholar
  33. 33.
    Lee S-H, Choi K-D, Jeong S-H. Nystagmus during neck flexion in the pitch plane in benign paroxysmal positional vertigo involving the horizontal canal. J Neurol Sci. 2007;256:75–80.CrossRefGoogle Scholar
  34. 34.
    White JA, Coale KD, Catalano PJ. Diagnosis and management of lateral semicircular canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2005;133:278–84.CrossRefGoogle Scholar
  35. 35.
    Tirelli G, Russolo M. 360-Degree canalith repositioning procedure for the horizontal canal. Otolaryngol Head Neck Surg. 2004;131:740–6.CrossRefGoogle Scholar
  36. 36.
    Roberts RA, Gans RE, Kastner AH. Prevalence of vestibulopathy in benign paroxysmal positional vertigo patients with and without prior otologic history. Int J Audiol. 2005;44:191–6.CrossRefGoogle Scholar
  37. 37.
    Korres SG, Balatsouras DG. Diagnostic, pathophysiologic, and therapeutic aspects of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2004;131:438–44.CrossRefGoogle Scholar
  38. 38.
    Kentala E, Rauch SD. A practical assessment algorithm for diagnosis of dizziness. Otolaryngol Head Neck Surg. 2003;128:54–9.CrossRefGoogle Scholar
  39. 39.
    Minor LB, Cremer PD, Carey JP. Symptoms and signs in superior canal dehiscence syndrome. Ann N Y Acad Sci. 2001;942:259–73.CrossRefGoogle Scholar
  40. 40.
    Dunniway HM, Welling DB. Intracranial tumors mimicking benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 1998;118:429–36.PubMedGoogle Scholar
  41. 41.
    Kerber KA. Acute continuous vertigo. Semin Neurol. 2013;33:173–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Benjamin Campbell
    • 1
  • Kyle Kimura
    • 1
  • Robert Yawn
    • 1
  • Marc Bennett
    • 1
    Email author
  1. 1.Department of Otolaryngology-Head and Neck SurgeryVanderbilt University School of MedicineNashvilleUSA

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