Benign paroxysmal positional vertigo (BPPV) usually causes intense, brief episodes of dizziness or vertigo associated with moving the head, often when rolling in bed or getting up in the morning. Some people may also feel nauseous between episodes of vertigo.

HISTORY:

A 65 yo woman (GB) had a sudden episode of vertigo two weeks ago when she was at the hairdresser and laid back to have her hair washed. She felt that her dizziness and nausea lasted for several hours afterwards. Currently, GB notes vertigo when she bends forwards or looks upwards. She also feels unsteady at times but has not fallen.

EXAMINATION:

GB had a positive right Hallpike test suggestive of a right-sided benign, paroxysmal, positional vertigo (BPPV) situation.

TREATMENT:

GB was treated with a Canalith Repositioning Manoeuvre and appropriate advice.

OUTCOME:

GB was reviewed one week later and her vertigo and imbalance had both completely resolved. She was discharged from our care.