Benign paroxysmal positional vertigo: diagnosis and treatment.

摘要: Benign paroxysmal positional vertigo (BPPV) has been recognized as the most common vestibular disorder; it is a term coined in 1952 by Dix and Hallpike, commonly used to describe disease with characteristic clinical presentation believed be caused free-floating particles leaving macula entering one of semicircular canals, usually posterior one, more rarely horizontal or superior ones. A lot studies showed prevalence higher females than males ratio 2:1; furthermore, increases age: mean age at onset 54 years, range 11 84 years. The important manifestations BPPV are: vertigo, lightheadedness, dysequilibrium sometimes nausea, vomiting, pallor sweating. diagnosis very simple through Dix-Hallpike test diagnostic Semont's maneuver; increasing information about BPPV's pathogenesis led authors consider rehabilitative therapy, particular so-called "liberatory" maneuver, first choice treatment BPPV, relation its quickness efficacy. In this debris are moved from canal another location within labyrinth. our review we possible best therapies, like repositioning maneuvers, patient affected BPPV.