benign paroxysmal positional vertigo

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

Clinical Diagnosis of Benign Paroxysmal Positional Vertigo and Vestibular Neuritis

Devin Evans — Thu, 21 Jan 2021 06:00:00 +0000

Date Added:

January 21, 2021

Journal/Publication:

Canadian Medical Association Journal

Publication Date:

February 24, 2020

Issue:

Volume:

192

Pages:

182-186

URL:

Clinical Diagnosis of Benign Paroxysmal Positional Vertigo and Vestibular Neuritis

Type:

Clinical Decision Aids

Format:

Article

DOI (1):

10.1503/cmaj.190334

Keywords

benign paroxysmal positional vertigo

vertigo

vestibular neuritis

PMID (1):

32094268

MeSH

A nice review of how to distinguish BPPV from vestibular neuronitis clinically. James W. Mold, MD, MPH

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• Assess patients with vertigo for focal neurologic signs and symptoms, sustained substantial headache or neck pain, inability to stand and spontaneous vertical nystagmus.

• Perform the Dix–Hallpike test only for patients with episodes of vertigo less than 2 minutes and no nystagmus at rest.

• Perform the head impulse, nystagmus and test of skew (HINTS) plus (plus refers to a test of recent hearing loss) examination only for patients with hours or days of constant, ongoing vertigo and nystagmus at rest.

Author/s:

Johns, Peter, Quinn, James

Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis

Carly Hughes — Sat, 16 Jan 2021 20:02:36 +0000

Date Added:

January 16, 2021

Journal/Publication:

Canadian Medical Association Journal

Publisher:

Canadian Medical Association Journal

Publication Date:

February 24, 2020

Issue:

Volume:

192

Pages:

E182-E186

URL:

Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis

Type:

Clinical Research Results

Format:

Article

DOI (1):

https://doi.org/10.1503/cmaj.190334

Keywords

benign paroxysmal positional vertigo

vestibular neuritis

PMID (1):

32094268

MeSH

Benign Paroxysmal Positional Vertigo

Vestibular Neuronitis

A nice review of how to distinguish BPPV from vestibular neuronitis clinically. James W. Mold, MD, MPH

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Not available

Author/s:

Johns, Peter, Quinn, James

Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis

John Bayhi — Mon, 24 Feb 2020 20:37:12 +0000

Date Added:

February 24, 2020

Journal/Publication:

Canadian Medical Association Journal

Publisher:

Joule Inc

Publication Date:

February 24, 2020

Issue:

Volume:

192

Pages:

E182-E186

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

10.1503/cmaj.190334

Keywords

vertigo

benign paroxysmal positional vertigo

MeSH

Benign Paroxysmal Positional Vertigo

A nice review of how to differentiate clinically between benign paroxysmal positional vertigo, vestibular neuritis, and central causes of vertigo.

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KEY POINTS

• Assess patients with vertigo for focal neurologic signs and symptoms, sustained substantial headache or neck pain, inability to stand and spontaneous vertical nystagmus.

• Perform the Dix–Hallpike test only for patients with episodes of vertigo less than 2 minutes and no nystagmus at rest.

Author/s:

Johns, P, Quinn, J