Benign positional vertigo

Recurrent attacks of sudden-onset vertigo, lasting only a few seconds or minutes.

Occur with sudden changes in posture.

Common after a viral illness.

Normal tympanic membrane.

Diagnosis

Diagnosis is based on history and a +ve Hallpike test.

Management

Usually self-limiting (few weeks)

Teach the patient to minimize symptoms by sitting and lying in stages.

If not settling then refer to ENT for Epley’s manoeuvres (rapid repositioning of the head to move otoliths out of the labyrinth)

Refer for physiotherapy for exercises/vestibular rehabilitation.