title: [CROATIAN GUIDELINES FOR DIAGNOSIS AND MANAGEMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV)].
abstract: BPPV is generally the most common cause of vertigo, caused by a pinch-off of tiny calcium carbonate crystals (called the otoconia or the otoliths) from the macula utriculi, most frequently due to the degenerative processes or a trauma, whereby the crystals, under the action of gravity in certain head positions coinciding with its direction, arrive to some of the semicircular canals, usually the posterior one, due to the existent anatomical circumstances and relationships, thus creating an inadequate stimulus of the cupular senses while floating through the endolymph and provoking symptoms of a strong and short-term dizziness. Two main clinical forms can be distinguished: canalolythiasis, with an accommodation of otolithic debris in the semicircular canal, and cupulolythiasis, with their location immediately next to the cupular sense. The diagnosis is established by a positive positioning test, Dix-Hallpike for the posterior and the supine roll for the lateral canal. Although one can expect a spontaneous recovery subsequent to few weeks or months, various methods of otolith repositioning to a less sensitive place lead to a prompt improvement while reducing or withdrawing the symptoms completely. These guidelines are intended for all who treat the BPPV in their work, with an intention to assist in the diagnosis and application of an appropriate therapeutic method.
authors.forename: Sinisa
authors.initials: S
authors.lastname: Maslovara
authors.forename: Silva
authors.initials: S
authors.lastname: Butković-Soldo
authors.forename: Petar
authors.initials: P
authors.lastname: Drvis
authors.forename: Marina
authors.initials: M
authors.lastname: Roje-Bedeković
authors.forename: Robert
authors.initials: R
authors.lastname: Trotić
authors.forename: Srećko
authors.initials: S
authors.lastname: Branica
authors.forename: Mario
authors.initials: M
authors.lastname: Habek
authors.forename: Tereza
authors.initials: T
authors.lastname: Cvjetko
authors.forename: Tihana
authors.initials: T
authors.lastname: Vesligaj
authors.forename: Ivan
authors.initials: I
authors.lastname: Adamec
authors.forename: Tereza
authors.initials: T
authors.lastname: Gabelić
authors.forename: Stjepan
authors.initials: S
authors.lastname: Jurić
authors.forename: Andrijana
authors.initials: A
authors.lastname: Vceva
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Vranjes
authors.forename: Ingrid
authors.initials: I
authors.lastname: Sarić
authors.forename: Olivera
authors.initials: O
authors.lastname: Cejić
authors.forename: Tihomir
authors.initials: T
authors.lastname: Zivić
mesh_terms: D065635:Benign Paroxysmal Positional Vertigo / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D017523:Croatia; D006801:Humans; D010037:Otolithic Membrane / Q000473:pathology; D056888:Patient Positioning; D017410:Practice Guidelines as Topic