Doctor's Notes on Benign Paroxysmal Positional Vertigo
(BPPV)
Benign Paroxysmal Positional Vertigo (BPPV) is a form of vertigo, which is a spinning sensation. BPPV is a result of a problem with the balance center (vestibular system) in the inner ear. The spinning sensation or dizziness from benign paroxysmal positional vertigo usually only lasts a short time and gets worse when the head position changes. The vertigo is intermittent and comes and goes, and it is not associated with any specific illness. Known causes of BPPV include viral infections, nerve inflammation, complications resulting from ear surgery, and side effects of medications. In about half the cases of BPPV, the cause is unknown.
Symptoms of benign paroxysmal positional vertigo include a spinning sensation, problems with balance, falling, lightheadedness, nausea, vomiting, and involuntary eye movements (nystagmus).
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Tinnitus (Ringing, Clicking, in the Ears)
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Vertigo
Vertigo, a feeling or perception that the environment around you is moving or spinning can be caused by inner ear inflammation, Benign paroxysmal positional vertigo, Meniere's disease, migraine, tumor, head trauma, or multiple sclerosis. Typical symptoms of true vertigo include nausea, sweating, vomiting, and abnormal eye movements. Treatment depends upon the cause of vertigo.
REFERENCE:
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.