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Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... #Benign #paroxysmal ... #positional #vertigo ... #neurology #instructions ... #physicalexam #management
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Differentiating Benign ... Paroxysmal Positional ... Vertigo (BPPV) ... Neuritis-Labyrinthitis BENIGN ... Labyrinthitis #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
with vascular causes ... worsen with head position ... auditory findings BPPV ... episodes caused ... differential #diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... Epley #Maneuver #BPPV ... #Benign #paroxysmal ... #neurology #instructions ... #physicalexam #management
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
nystagmus • Benign ... Paroxysmal Positional ... Dysfunction - Imbalance, neurologic ... Dizziness #Vertigo #Neurology ... Diagnosis #Algorithm #Causes
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... with vascular causes ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Benign paroxysmal ... (BPPV) - Short-lived ... without an obvious cause ... differential #diagnosis #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central Causes ... Vertigo Peripheral Causes ... - Labyrinth: Benign ... paroxysmal positional ... differential #diagnosis #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... "waiter's tip" position ... spared in this injury ... Dislocation - May cause ... Myotomes #diagnosis #neurology
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
for Treatment of BPPV ... until the vertigo eases ... Exercise #Maneuver #BPPV ... #neurology #instructions ... #physicalexam #management