Benign positional vertigo

It is characterized by recurrent attacks of sudden-onset vertigo

It can last only a few seconds or minutes.

Occur with sudden changes in posture.

Common after a head injury or viral illness.

Can be possibly caused by otoliths in the labyrinth.

Clinical features

Vertigo with a sudden change in  posture for example rolling in bed at night

Diagnosis

Clinical

Hallpike test positive

Normal tympanic membrane.

Management

Usually self-limiting (few weeks)

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

Refer to physiotherapy for exercises/vestibular rehabilitation.

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