Benign Paroxysmal Positional Vertigo: BPPV

Benign Paroxysmal Positional Vertigo BPPV

It is the most common disease that causes dizziness and brief attacks of vertigo, which is associated with abnormalities of calcium deposits in the inner ear. Generally, our inner ear involves snail-shaped organs that responsible for maintaining balance, including utricle, saccule, semicircular canals. Utricle consists of calcium carbonate crystals called otoconia that responsible for sensing the direction of the head movement by moving back and forth within the canal lumen. Nevertheless, as a result of vibration, they fall out of place into the semicircular canal, they will transmit signals to the central nervous system and stimulate benign paroxysmal positional vertigo.


  • Age 30-70 years, common in older adults> 60 years.
  • Female: Male 1.5-2: 1.
  • Usually, experience in ear (left or right). 15 percent of occurrence in both ears.


  • Degenerative over aging.
  • Accidents, particularly traumas around the head.
  • Maladies in the inner ear.
  • Middle ear or inner ear surgery.
  • Infection.
  • Lengthy immobilization due to post-major surgery.
  • Repetitive head movements, such as acting in front of a computer screen or cleansing that require massive head action.
  • Idiopathic.

Signs and Symptoms

  • Disorientation, a sense of the room spinning, loss of balance during the rapid change in head movement.
  • Nausea, and vomiting.
  • The symptoms usually last for seconds to minutes.
  • With no tinnitus or whooshing sound in one or both ears. The recurrence can be developed within months or years.


  • Managing anti-nausea/vomiting prescription to relieve the dizziness.
  • Physical therapy, change positions of the head and neck by using gravity to shift the otoconia back into place
  • Management and practicing to balance the nervous system.

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From Bangkok Hospital Phuket