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Positional Vertigo and Benign Paroxysmal Positional Vertigo 

Positional Vertigo and Benign Paroxysmal Positional Vertigo
Positional Vertigo and Benign Paroxysmal Positional Vertigo

Daniele Nuti

and David S. Zee

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date: 28 October 2021

Benign Paroxysmal Positional Vertigo (BPPV) is common, and when conforming to ‘text book’ descriptions, easily diagnosed and treated. Here we review the diagnosis and treatment of BPPV both in its simple and straightforward presentations and in its more complex forms in which the patterns of nystagmus are less easily understood. We also emphasize a logical approach to the lateral canal variants of bppv as they can be simply and effectively treated. We discuss anterior canal BPPV which still eludes simple explanation. Differentiating central from peripheral causes of positional vertigo is usually straightforward but small lesions in the structures around the fourth ventricle may rarely mimic classical BPPV

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