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Benign Paroxysmal Positional Vertigo (BPPV)

Condition Basics

What is benign paroxysmal positional vertigo (BPPV)?

Vertigo is the feeling that you are spinning or the world is spinning around you. Benign paroxysmal positional vertigo is a balance problem that causes brief vertigo spells that come and go.

For many people, BPPV goes away by itself in a few weeks, but treatment can help. It can come back again.

BPPV isn't a sign of a serious health problem.

What causes it?

BPPV is caused by a problem in the inner ear. Tiny calcium "stones" inside your inner ear help you keep your balance. When you have BPPV, these stones move into the semicircular canal in your inner ear where they can cause a feeling of spinning.

What are the symptoms?

The main symptom of BPPV is a feeling that you are spinning or tilting when you are not. It can happen when you move your head in a certain way, like rolling over in bed. You may find it hard to walk or stand without losing your balance.

How is it diagnosed?

BPPV is diagnosed with a physical exam. Your doctor will ask questions about your symptoms and past health. You may have a Dix-Hallpike, Opens dialog test. In this test, your doctor watches your eyes while turning your head and helping you lie back.

How is BPPV treated?

BPPV may go away in a few weeks by itself. If treatment is needed, it usually involves your doctor moving your head in different directions.

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Current as of: October 27, 2024

Author: Ignite Healthwise, LLC Staff

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All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.