Free Access Online BPPV Resources
Compiled by: Maria D. Dominguez, SPT
Oversight provided by: Jeff Walter PT, DPT, NCS
(Links recently updated 6/2020)General Information
- https://www.balancingactrehab.com/about-bppv
- http://www.dizziness-and-balance.com/disorders/bppv/bppv.html
- https://vestibular.org/understanding-vestibular-disorders/types-vestibular-disorders/benign-paroxysmal-positional-vertigo
- Benign Paroxysmal Positional Vertigo. David Solomon. Current Treatment Options in Neurology. 2000, 2:417–427. http://www.med.upenn.edu/solomon/images/BPPV.pdf
- Benign Paroxysmal Positional Vertigo. Seung-Han Lee, MD and Ji Soo Kim, MD, PhD. J Clin Neurol. 2010 June; 6(2): 51–63. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2895225/
- Benign Paroxysmal Positional Vertigo: An Overview. Boniver R. Int Tinnitus J. 2008; 14(2):159-167. http://www.tinnitusjournal.com/detalhe_artigo.asp?id=33
- Benign Paroxysmal Positional Vertigo (BPPV): History, Pathophysiology, Office Treatment and Future Directions. Jeremy H. International Journal of Otolaryngology. Volume 2011 (2011). http://www.hindawi.com/journals/ijol/2011/835671/
- Fluid–particle dynamics in canalithiasis. Dominik Obrist and Stefan Hegemann. J R Soc Interface. 2008 October 6; 5(27): 1215–1229. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226995/?tool=pmcentrez
- Clinical Characteristics of Benign Paroxysmal Positional Vertigo in Korea: A Multicenter Study. So Young Moon, Ji Soo Kim, Byung-Kun Kim, Jae Il Kim, Hyung Lee, Sung-Il Son, Kyu-Sung Kim, Chung-Ku Rhee, Gyu-Cheol Han, and Won-Sang Lee. J Korean Med Sci. 2006 June; 21(3): 539–543. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2729964/?tool=pmcentrez
Maneuvers
- Right Epley Maneuver
- Left Epley Maneuver
- Right Gufoni Maneuver
- Left Gufoni Maneuver
Epidemiology
- Epidemiology of benign paroxysmal positional vertigo: a population based study. M von Brevern, A Radtke, F Lezius, M Feldmann, T Ziese, T Lempert, H Neuhauser. J Neurol Neurosurg Psychiatry. 2007; 78:710-715. http://jnnp.bmj.com/content/78/7/710.long
- New epidemiological findings on benign paroxysmal positional vertigo. H S Cohen. J Neurol Neurosurg Psychiatry. 2007 July; 78(7): 663. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2117669/?tool=pmcentrez
Guidelines
- Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ, Hain TC, Herdman S, Morrow MJ, Gronseth GS, Quality Standards Subcommittee, American Academy of Neurology. Neurology. 2008 May 27;70(22):2067-74 http://www.guidelines.gov/content.aspx?id=12940
- Clinical practice guideline: benign paroxysmal positional vertigo (update). Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, et al. Otolaryngol Head Neck Surg (2017) 156:S1 47.10.1177/0194599816689660 (http://www.rcot.org/pdf/CPG-BPPV08-05-2017.pdf)
- Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines. Brazilian Journal of Otorhinolaringology. 2011 April; 77(2):4126. https://pubmed.ncbi.nlm.nih.gov/21537621/
Predisposition of BPPV
- Is Posttraumatic Benign Paroxysmal Positional Vertigo Different From the Idiopathic Form? Carlos R. Gordon, Ronen Levite, Vitaly Joffe, Natan Gadoth. Arch Neurol. 2004; 61:1590-1593. http://archneur.amaassn.org/cgi/content/full/61/10/1590
- Benign paroxysmal positional vertigo as a complication of sinus floor elevation. Moon-Sun Kim, Jae-Kwan Lee, Beom-Seok Chang, Heung-Sik Um. Periodontal Implant Sci. 2010 April; 40(2): 86–89. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2872812/?tool=pmcentrez
- Inner Ear Disease and Benign Paroxysmal Positional Vertigo: A Critical Review of Incidence, Clinical Characteristics, and Management. M. Riga, A. Bibas,J. Xenellis, S. Korres. Int J Otolaryngol. 2011: 709469. http://www.hindawi.com/journals/ijol/2011/709469/
- Iatrogenic benign paroxysmal positional vertigo: review and personal experience in dental and maxillo-facial surgery. G Chiarella, G Leopardi, L De Fazio, R Chiarella, C Cassandro, E Cassandro. Acta Otorhinolaryngol Ital. 2007 June; 27(3): 126–128. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2640043/?tool=pmcentrez
- Benign paroxysmal positional vertigo predominantly affects the right labyrinth. M von Brevern, T Seelig, H Neuhauser, T Lempert. J Neurol Neurosurg Psychiatry 2004; 75:1487–1488. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1738771/pdf/v075p01487.pdf
- Clinical analysis of benign paroxysmal positional vertigo secondary to Meniere’s disease. Peng Li, Xiang-li Zeng, Yongqi Li, Ge-hua Zhang and Xue-kun Huang. Scientific Research and Essays. Vol. 5(23), pp. 3672-3675, 4 December, 2010. https://pubmed.ncbi.nlm.nih.gov/29871157/
Characteristic Nystagmus
- Posterior Canal BPPV
- BPPV Nystagmus during Dix Hallpike Maneuver:
- Left Posterior Canal- Upbeating Left Torsional Nystagmus
- http://www.youtube.com/watch?v=NT4jD8Y7HFw
- http://www.youtube.com/watch?v=NT4jD8Y7HFw&NR=1&feature=endscreen
- Right Posterior Canal- Upbeating Right Torsional Nystagmus
- Horizontal Canal BPPV
- Geotropic Nystagmus Canalolithiasis
- http://www.youtube.com/watch?v=ZWnuAbBdKD0
- http://www.youtube.com/watch?v=f3lpS_lrnQE
- http://www.youtube.com/watch?v=MtmkD5rDU0o
- http://www.youtube.com/watch?v=f3lpS_lrnQE&feature=related
- Apogeotropic Nystagmus Canalolithiasis
- BPPV Related Movies
Diagnosis
- Diagnosis and management of benign paroxysmal positional vertigo (BPPV) Lorne S. Parnes, Sumit K. Agrawal, Jason Atlas. CMAJ. Sept. 30, 2003; 169 (7). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC202288/pdf/20030930s00016p681.pdf
- Predictors for benign paroxysmal positional vertigo with positive Dix– Hallpike test. Kazutaka Noda, Masatomi Ikusaka, Yoshiyuki Ohira, Toshihiko Takada, and Tomoko Tsukamoto. Int J Gen Med. 2011; 4: 809–814. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233377/
- Can GPs diagnose benign paroxysmal positional vertigo and does the Epley manoeuvre work in primary care? Sarah Cranfield, Ian Mackenzie, and Mark Gabbay. Br J Gen Pract. 2010 September 1; 60(578): 698–699. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2930235/?tool=pmcentrez
Management
- Clinical Management of a Patient with Chronic Recurrent Vertigo Following a Mild Traumatic Brain Injury. Eric G. Johnson. Case Reports in Medicine Volume 2009 (2009). http://www.hindawi.com/journals/crim/2009/910596/
- Canalith Repositioning Variations for Benign Paroxysmal Positional Vertigo. Helen S. Cohen, EdD, OTR and Haleh Sangi-Haghpeykar, PhD. Otolaryngol Head Neck Surg. 2010 September; 143(3): 405–412. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2925299/?tool=pmcentrez
- The Effect of Early Canalith Repositioning on Benign Paroxysmal Positional Vertigo on Recurrence. Youn-Kyoung Do, MD, Jin Kim, MD, Chong Yoon Park, MD, Myung-Hyun Chung, In Seok Moon, MD, and Hoon-Shik Yang, MD. Clin Exp Otorhinolaryngol. 2011 September; 4(3): 113–117. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173700/
- Short term efficacy of Epley's manoeuvre: a double blind randomised trial. M von Brevern, T Seelig, A Radtke, K Tiel‐Wilck, H Neuhauser, T Lempert. Neurol Neurosurg Psychiatry. 2006 August; 77(8): 980–982. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2077628/
- Practice Parameter: Therapies for benign paroxysmal positional vertigo (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology T. D. Fife, D. J. Iverson, T. Lempert, et al. Neurology 2008; 70; 2067. https://n.neurology.org/content/neurology/70/22/2067.full.pdf
- Efficacy of Treatments for Posterior Canal Benign Paroxysmal Positional Vertigo. Helen S. Cohen EdD, Jaroslav Jerabek MD. The Laryngoscope. Volume 109, Issue 4, pages 584–590, April 1999. http://onlinelibrary.wiley.com/doi/10.1097/00005537-199904000-00012/full
- Efficacy of the Epley maneuver for posterior canal BPPV: a long-term, controlled study of 81 patients. W Richard, TD Bruintjes, P Oostenbrin. ENTEar, Nose & Throat Journal. January 2005. http://www.entjournal.com/Media/PublicationsArticle/jan-2005-RICHARD.pdf
- Effectiveness of Particle Repositioning Maneuvers in the Treatment of Benign Paroxysmal Positional Vertigo: A Systematic Review Helminski et al. ptjournal. 2010; 90:663-678. http://ptjournal.apta.org/content/90/5/663.full
- Efficacy of the Semont Maneuver in Benign Paroxysmal Positional Vertigo. Levrat et al. Arch Otolaryngol Head Neck Surg. 2003; 129:629-633. http://archotol.ama-assn.org/cgi/content/full/129/6/629
Complications of Treatment Maneuvers
- Residual Dizziness after Successful Repositioning Treatment in Patients with Benign Paroxysmal Positional Vertigo. Jung Im Seok, Hyo Min Lee, Ji Hoon Yoo, and Dong Kuck Lee. J Clin Neurol. 2008 September; 4(3): 107–110. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2686873/
Post Maneuver Precautions
- The Role of Postural Restrictions after BPPV Treatment: Real Effect on Successful Treatment and BPPV’s Recurrence Rates. GX Papacharalampous. International Journal of Otolaryngology. Volume 2012 (2012). http://www.hindawi.com/journals/ijol/2012/932847/
Home Treatment of BPPV
- Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure. Radtke et al. Neurology. 2004; 63:150-152. http://www.neurology.org/content/63/1/150.full
- Strategies to Prevent Recurrence of Benign Paroxysmal Positional Vertigo. Janet Odry Helminski, Imke Janssen, Despina Kotaspouikis, Karen Kovacs, Phil Sheldon, Kristin McQueen, Timothy Carl Hain. Arch Otolaryngol Head Neck Surg. 2005; 131:344-348. http://archotol.ama-assn.org/cgi/content/full/131/4/344
Surgical Treatment
- Surgical Treatment of Vertigo. Timothy C. Hain, MD. http://www.tchain.com/otoneurology/treatment/surg.html
- Surgical therapy in intractable benign paroxysmal positional vertigo Marianne Leveque, Marc Labrousse, Laurent Seidermann, Andre Chays, Reims, France. Otolaryngology–Head and Neck Surgery. (2007) 136, 693-698. www.metroatlantaotolaryngology.org/journal/nov07/BPPV.pdf
Differential Diagnosis of BPPV
- Central Oculomotor Disturbances and Nystagmus; A Window Into the Brainstem and Cerebellum. Michael Strupp, Katharina Hüfner, Ruth Sandman, Andreas Zwergal, Marianne Dieterich, Klaus Jahn, and Thomas Brandt. Dtsch Arztebl Int. 2011 March; 108(12): 197–204. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3077509/
- Tests used to evaluate dizziness in primary care. Jacquelien Dros, Otto R. Maarsingh, Henriëtte E. van der Horst, Patrick J. Bindels, Gerben ter Riet, and Henk C. van Weert. CMAJ. 2010 September 21; 182(13): E621–E631. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2942928/?tool=pmcentrez
- Diagnostic indices for vertiginous diseases. Otmar Bayer, Jan-Christian Warninghoff and Andreas Straube. BMC Neurology. 2010, 10:98. http://www.biomedcentral.com/1471-2377/10/98
- Hyperventilation-induced nystagmus in a large series of vestibular patients. L. Califano, M.G. Melillo, A. Vassallo, and S. Mazzone. Acta Otorhinolaryngol Ital. 2011 February; 31(1): 17–26. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146331/?tool=pmcentrez
- Post-traumatic dizziness. Simon William Dubrey and Wojtek Rakowicz. BMJ Case Rep. Volume 2010 (2010). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3028420/?tool=pmcentrez
- Acute Vestibulopathy. Yoon-Hee Cha. The Neurohospitalist. 2011January; 1(1):32-40. https://journals.sagepub.com/doi/10.1177/1941875210386235
- Vertigo and Dizziness in the Emergency Department. Kevin A. Kerber. Emerg Med Clin North Am. 2009 February; 27(1): 39–viii. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2676794/?tool=pmcezntre
- Vertigo: A Review of Common Peripheral and Central Vestibular Disorders. Timothy L. Thompson,and Ronald Amedee. Ochsner J. 2009 spring; 9(1): 20–26. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096243/?tool=pmcentrez
Atypical BPPV
- Bilateral Posterior Canal BPPV
- Bilateral posterior semicircular canal aplasia and atypical paroxysmal positional vertigo: a case report. LE Walther, V Nath, GA Krombach, and E Di Martino. . Acta Otorhinolaryngol Ital. 2008 April; 28(2): 79–82. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2644981/
- Horizontal Canal BPPV
- Horizontal canal BPPV. http://www.tchain.com/otoneurology/disorders/bppv/lcanalbppv.htm
- Why Treat Apogeotropic BPPVs of the Horizontal Canal? About 30 Observations. Philippe Lorin, Francois Foubert, and Marie Debaty. Int J Otolaryngol. Volume 2011 (2011). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3143428/
- Biomechanics of horizontal canal benign paroxysmal positional vertigo. Suhrud M. Rajguru, Marytheresa A. Ifediba, and Richard D. Rabbitt. . J Vestib Res. 2005; 15(4): 203–214. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2716391/?tool=pmcentrez
- About Nystagmus Transformation in a Case of Apogeotropic Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo. Paolo Vannucchi and Rudi Pecci. Int J Otolaryngol. Volume 2011(2011). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144667/?tool=pmcentrez
- Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo diagnostic signs. G. Asprella-Libonati. Acta Otorhinolaryngol Ital. 2010 August; 30(4): 222. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3008144/?tool=pmcentrez
- “Secondary signs of lateralization” in apogeotropic lateral canalolithiasis. L Califano, MG Melillo, S Mazzone, and A Vassallo. Acta Otorhinolaryngol Ital. 2010 April; 30(2): 78–86. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882145/?tool=pmcentrez
- Cupulolithiasis vs Vestibulithiasis
- Cupulolithiasis, Canalithiasis and Vestibulithiasis. http://www.dizziness-and-balance.com/disorders/bppv/cupulolithiasis.htm
- Multicanal BPPV
- Diagnosis of Single- or Multiple-Canal Benign Paroxysmal Positional Vertigo according to the Type of Nystagmus. Dimitris G. Balatsouras, George Koukoutsis, Panayotis Ganelis, George S. Korres, and Antonis Kaberos. Volume 2011 (2011) http://www.hindawi.com/journals/ijol/2011/483965/
Handouts: Home Repositioning Maneuvers
Click on the picture to follow the link to a printable document
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