Disease encyclopedia/Eyes, ears, nose & throat
    3-D atlas
    Eyes, ears, nose & throatVestibular disorderICD-10 H81.1

    Benign paroxysmal positional vertigo

    Also called: BPPV, Vertigo

    Brief spinning dizziness triggered by head movements, caused by loose crystals in the inner ear. It is the most common cause of vertigo and is easily treated.

    Condition-specific references are below. Individual claims and this page have not been clinically reviewed. Read about this content.

    Affected: Inner ear (semicircular canals)

    Causes

    • Displaced otoconia in a semicircular canal

    Risk factors

    • Age
    • Head injury
    • Inner ear disease

    Symptoms

    • Spinning vertigo lasting seconds when turning in bed, looking up or bending
    • Nausea
    • Imbalance

    Diagnosis — tests and examinations

    • Dix–Hallpike test

    Treatment

    Operations and procedures

    • Epley manoeuvre (canalith repositioning)

    Self-care, home remedies and lifestyle

    • Brandt–Daroff exercises
    • Home Epley manoeuvre as taught

    Possible complications

    • Falls
    • Recurrence

    Prevention

    • None

    Outlook

    Usually resolves after one or two repositioning manoeuvres.

    When to see a doctor

    Seek urgent care for vertigo with headache, weakness, double vision or speech problems (possible stroke).

    Sources and further reading

    These sources cover this condition. They have not been checked against every statement on this page.

    • Benign positional vertigo — MedlinePlus (U.S. National Library of Medicine)

    Related conditions

    CataractGlaucomaAge-related macular degenerationDiabetic retinopathyConjunctivitis (pink eye)Middle ear infection (otitis media)

    Educational overview, not medical advice. Treatment varies by person and location. Consult a qualified health professional for diagnosis or care. Read our content and model notes and privacy information.

    Affected: Inner ear (semicircular canals)

    On this page

    • Causes
    • Risk factors
    • Symptoms
    • Diagnosis — tests and examinations
    • Treatment
    • Complications
    • Prevention
    • Outlook
    • When to see a doctor
    • Sources