[Benign paroxysmal positional vertigo--the most common form of otogenic vertigo].
Benign paroxysmal positional vertigo presents with brief, episodic, positioning-provoked vertigo and characteristic findings on Dix-Hallpike and other positional tests. This article is based on a systematic review of the literature and describes epidemiology, etiology, pathogenesis, diagnostic positional tests and treatment using canalith repositioning, liberatory and 360 degrees rotation manoeuvres. Diagnostic pitfalls, mastoid vibration, postmanoeuvre activity restriction and the ideal number of repositioning manoeuvres per treatment session are discussed.
Hansen
Søren
S
Gentofte Hospital, Øre-, Naese- og Halskirurgisk Afdeling. chsh@cph-metronet.dk
Karlberg
Michael
M
D003937:Diagnosis, Differential; D006801:Humans; D011187:Posture / Q000502:physiology; D012665:Semicircular Canals / Q000503:physiopathology; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014724:Vestibular Function Tests