Benign paroxysmal positional vertigo, commonly referred to as BPPV, is a vestibular disorder that causes vertigo. It occurs when calcium deposits in the inner ear become dislodged from the otolithic membrane and settle in the semicircular canals. Any change in the position of the head causes these tiny crystals to shift, triggering dizziness.
What Causes BPPV?
It isn’t always known what causes these calcium deposits to break loose, though this is commonly the result of a head injury, inner ear infection, damage from ear surgery or prolonged back position associated with bed rest. Migraines might also play a role. Older patients are susceptible to degeneration of the otolithic membrane related to normal aging.
What Are the Symptoms of BPPV?
BPPV is the most common cause of vertigo. The episodes of spinning vertigo may be severe, but usually lasts for less than a minute. Other symptoms include dizziness or lightheadedness, loss of balance, blurred vision, nausea, vomiting and concentration difficulties.
How Is BPPV Treated?
When a balance specialist begins a treatment plan for a patient, repositioning maneuvers are typically the first step in providing relief from vertigo. These medically developed exercises move the canaliths from the semicircular canals and back into the utricle, where they no longer cause symptoms.