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Condition Info
ConditionName
Benign paroxysmal positional vertigo (BPPV)
ConditionDescription
Symptoms
Adults: associated with positional changes; Recurrent episodes; Vertigo lasts seconds to minutes; Some relief if motionless; Nystagmus; Child: usually 2-3 y/o, sudden onset with crying by child; Feeling or rotational movement;
PhysicalFindings
Adult: Lateral or rotary nystagmus; no tinnitus or hearing loss Child: vomiting, pallor, sweating, and nystagmus common; no loss of consciousness; neurological and audiological examination can be normal Dix-Hallpike maneuver
ClinicalTests
Adult: Provoke nystagmus and vertigo by position that causes response; ENG; Child: Can have hypoactive or absent response to caloric testing; TSH; CT or MRI to r/o brain tumor of schwannoma;
RiskFactors
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
Caused by dislodged otolith in inner ear;
TreatmentOptions
PharmOptions
WebLink
https://www.merckmanuals.com/en-ca/professional/ear,-nose,-and-throat-disorders/inner-ear-disorders/benign-paroxysmal-positional-vertigo?query=Benign paroxysmal positional vertigo
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