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Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for Treatment ... of BPPV By Dr ... Epley #Maneuver #BPPV ... paroxysmal #positional #vertigo ... #neurology #instructions
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... months but can be ... auditory findings BPPV ... No auditory symptoms ... Long symptom-free
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... (BPPV); worsens ... findings #signs #symptoms ... #comparison #neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... symptoms in head-hanging ... toward the downward ear ... findings #signs #bppv ... #vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... consistent with BPPV ... may be worsened ... #BPPV #Vestibular ... Labyrinthitis #diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... Can be worsened ... with significant neurologic ... attacks with varying neurologic ... differential #diagnosis #neurology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... Time course and symptoms ... of peripheral vertigo ... (BPPV): - Timing ... initially may be
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... of BPPV 1) The ... procedure may be ... paroxysmal #positional #vertigo ... #neurology #instructions
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... "pass out" • Symptoms ... may be triggered ... situations, or be ... differential #diagnosis #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... Vertiginous symptoms ... degree below the bed ... #Instructions # ... Diagnosis #neurology