Show Summary Details
Page of

Benign Positional Vertigo 

Benign Positional Vertigo
Benign Positional Vertigo

Robert W. Baloh

, Vicente Honrubia

, and Kevin A. Kerber

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 12 May 2021

Benign positional vertigo (BPV), also called benign positioning vertigo and benign paroxysmal positional vertigo, is a common inner ear disorder resulting from abnormal stimulation of the semicircular canals (usually the posterior). The direction of the provocative movement and the appearance of the induced eye movements (nystagmus) identify the involved canal(s). The abnormal stimulation is due to the presence of detached otoconia (canaliths) moving in the canal endolymph under the influence of gravity. In order for positional vertigo to occur, two events must happen: (1) otoconia must be dislodged from the utricular macule, and (2) the head must be held in a critical position that allows the otoconia to enter a semicircular canal. BPV is not a disease; rather, it is a syndrome that can have multiple causes of the detached otoconia.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.