Benign Paroxysmal Positional Vertigo
Brain Werner of the Balance Institue shared a "Great review of BPPV" from an article in Otolaryngology - Head and Neck Surgery (2008) 139, S47-S81. He states " This is very common post mTBI and commonly missed."
A primary complaint of dizziness accounts for 5.6 million clinic visits in the United States per year, and between 17 and 42 percent of patients with vertigo ultimately receive a diagnosis of benign paroxysmal positional vertigo (BPPV).1-3 BPPV is a form of positional vertigo.
● Positional vertigo is defined as a spinning sensation produced
by changes in head position relative to gravity.
● Benign paroxysmal positional vertigo is defined as a
disorder of the inner ear characterized by repeated episodes
of positional vertigo.
Traditionally, the terms benign and paroxysmal have been used to characterize this particular form of positional vertigo. In this context, the descriptor benign historically implies that BPPV was a form of positional vertigo not due to any serious CNS disorder and that the overall prognosis for recovery was favorable.4 However, undiagnosed and untreated BPPV may not have “benign” functional, health, and quality-of-life impacts. The term paroxysmal in this context describes the rapid and sudden onset of the vertigo associated with an episode of BPPV. BPPV has also been termed benign positional vertigo, paroxysmal positional vertigo, positional vertigo, benign paroxysmal nystagmus, and paroxysmal positional nystagmus. In this guideline, the panel chose to retain the terminology of BPPV because it is the most common terminology encountered in the literature
and in clinical practice.
The Balance Institute sees patients for among other things:
•Adolescent balance disorders
•Amputee rehabilitation
•Aviation medicine
•Cerebral vascular
•Chemical toxicity
•Chronic mobility disorders
•Dizziness/Dysequilibrium
•Fall risk identification, prevention and management
•Head injuries/Concussion
•Movement disorders
•Neurogenerative diseases
•Pharmacological/Ototoxicity
•Spinal Cord Injury
•Sports medicine (performance enhancement)
•Vestibular disorders (e.g., BBPV)
•Worker's compensation/Legal
