Benign paroxysmal positional vertigo (BPPV) is a disorder that causes vertigo, dizziness, and other symptoms due to debris that has collected within a part of the inner ear.
2007-01-10 23:09:18
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answer #1
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answered by MotherNature 5
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Benign Paroxysmal Positional Vertigo (BPPV)—or simply vertigo—is a disorder of the inner ear. You feel a sudden sensation of movement or spinning when you move your head or hold it in a certain position.
The inner ear is located within your skull and consists of the cochlea, a chamber shaped like a snail shell, where sound is transformed to nerve signals for the brain, and 3 semi-circular canals that function like a gyroscope, relaying information about head position and movement to the brain.
The semicircular canals contain fluid and special sensors that, when disturbed, inform the brain of a change in head position. It is thought that the most probable cause of BPPV is the dislodging of otoconia (calcium particles) that are shed from the utricular macula (which responds to linear motion) and migrate to the posterior semi-circular canal (which responds to rotational motion). These loose otoconia stimulate the nerve endings in the balance canals and send a message to your brain that you are moving in a direction you really are not. Whiplash injury, falls, a severe cold or even high-impact exercises may accelerate this process. Individuals with prolonged inactivity, such as confinement to a bed, may also develop BPPV because of the settling of the otoconia particles. The diagnosis of BPPV is determined by a clinical history, with a typical complaint of vertigo whenever the patient leans forward, sits up, or rolls over in bed. The diagnosis is confirmed by a positive response on the Dix-Hallpike maneuver, which is a test specifically for the diagnosis of BPPV. While sitting on an examining table, the patient's head is turned either to the right or to the left. The patient is then moved rapidly from a sitting position to a supine position with the head hanging off of the back of the examining table. The patient is instructed to keep his/her eyes open so that the examiner can see eye movement during the entire procedure. If BPPV is present, vertigo will begin after a latency of 5 to 10 seconds and usually will last 30 seconds to a minute. Rotary nystagmus will occur and the patient will complain of dizziness. After the nystagmus and the vertigo subside, the patient is returned to the sitting position. The rotary nystagmus may reverse in direction and the patient may again experience vertigo. If a positive response occurs, the same maneuver is repeated. Usually, the severity of the vertigo and the rotary nystagmus are reduced during the repeat maneuver. This reduction is termed "fatigue". The opposite ear is then tested in a similar fashion. The offending ear is the one that is toward the ground when BPPV occurs during the Dix-Hallpike maneuver. The Canalith Repositioning Procedure (CRP) is the treatment of choice for patients with the classic signs of BPPV. Also known as the Epley maneuver, the patient is moved through several positions to slowly move the otoconia particles from the posterior semicircular canal back into the utricle. The entire CRP maneuver takes approximately 5 minutes. The patient is instructed to wear a neck brace for 48 hours and to not bend down or lay flat for 48 hours after the procedure. Two weeks after the CRP, the Dix-Hallpike test is repeated. Most patients are not symptomatic and the Dix-Hallpike maneuver elicits neither nystagmus nor vertigo. If the patient does experience vertigo and nystagmus, then the CRP is repeated. The post-procedure time for wearing the neck brace and laying flat is the same as before. Other than this post-procedure inconvenience, there is minimal stress to the patient. For patients who fail to improve with CRP, the possibility of positional vertigo has been eliminated and the diagnosis of a concomitant vestibular problem must be considered. Because long-term follow up is not required, there is no medication, and perhaps only two restless nights from sitting upright, CRP offers the most effective and tolerable treatment for BPPV.
Hope this is of interest
Matador 89
2007-01-10 23:30:50
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answer #2
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answered by Anonymous
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bppv? buying pay per views? noooo dont spend your money on the mayweather marquez fight! haha anyways.. im not sure.. i guess consult your doctor?
2016-03-14 04:21:49
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answer #3
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answered by Anonymous
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