Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo

Nathan Hinkle — Fri, 24 Apr 2026 13:24:40 +0000

Date Added:

April 24, 2026

Journal/Publication:

Journal of the American Medical Association

Publisher:

The American Medical Association

Publication Date:

April 23, 2026

URL:

Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

doi: 10.1001/jama.2026.1927

Keywords

benign paroxysmal positional vertigo

Vestibular Disorder

MeSH

Benign Paroxysmal Positional Vertigo* / diagnosis

Dizziness

RPR Commentary: A concise review of the diagnosis and treatment of patients with benign paroxysmal positional vertigo. James W. Mold, MD, MPH

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Benign paroxysmal positional vertigo (BPPV) is a peripheral vestibular disorder that can negatively affect quality of life and daily functioning and increase the risk of falls. BPPV is caused by dislodged otolith particles that become trapped in any of the 3 inner ear semicircular canals (anterior, posterior, or horizontal), but most commonly affects the posterior canal. Due to the posterior canal’s anatomical orientation with vertical alignment and curvature, particles in this canal tend to settle in the lowest portion and are less likely to exit with natural head movements compared with the other canals. When the head moves in the plane of the involved canal, these tiny calcium particles move in response to gravitational forces, generating fluid motion within the inner ear that displaces the cupula, the vestibular system’s main sensory structure. This temporary displacement of the cupula alters vestibular signaling, which causes involuntary eye deviation resulting in the characteristic transient nystagmus and dizziness typically described as vertigo.

Author/s:

Kevin A. Kerber, Wendy Carender, William J. Meurer

Epley manoeuvre’s efficacy for benign paroxysmal positional vertigo (BPPV) in primary-care and subspecialty settings: a systematic review and meta-analysis

Rowan Hutchins — Sat, 09 Dec 2023 06:00:00 +0000

Date Added:

December 9, 2023

Journal/Publication:

BMC Primary Care

Publisher:

BMC

Publication Date:

December 2, 2023

Issue:

262

Volume:

URL:

Epley manoeuvre’s efficacy for benign paroxysmal positional vertigo (BPPV) in primary-care and subspecialty settings: a systematic review and meta-analysis

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1186/s12875-023-02217-z

Keywords

epley maneuvers

primary care

Clinical

benign paroxysmal positional vertigo

PMID (1):

38042776

MeSH

Benign Paroxysmal Positional Vertigo* / diagnosis

Benign Paroxysmal Positional Vertigo* / therapy

General Practitioners*

hospitalization

Epley maneuvers performed in primary care settings may be just as effective as when performed in subspecialty settings. Primary care clinicians and their staffs should be equipped to perform this simple therapeutic technique. James W. Mold, MD, MPH

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Although previous studies have reported general inexperience with the Epley manoeuvre (EM) among general physicians, no report has evaluated the effect of EM on benign paroxysmal positional vertigo (BPPV) in primary care by using point estimates or certainty of evidence. We conducted this systematic review and meta-analysis and clarified the efficacy of EM for BPPV, regardless of primary-care and subspecialty settings.

Author/s:

Yusuke Saishoji, Norio Yamamoto, Takashi Fujiwara, Hideki Mori, Shunsuke Taito