Fauquier ENT News

Fauquier ENT News

 

Bilateral BPPV: When Vertigo Strikes from BOTH the Left and Right Inner Ears!
2025-09-09 10:28 UTC by Fauquier ENThttp://www.blogger.com/profile/18011731559130483399noreply@blogger.com



Benign paroxysmal positional vertigo, or BPPV, is one of the most common causes of dizziness. It happens when tiny calcium crystals in the inner ear, called otoconia, become dislodged and move into one of the semicircular canals, typically the posterior semicircular canal. Usually, this occurs only on one side. However, rarely both posterior canals on each side can become affected resulting in bilateral posterior canal BPPV. Treatment requires the displaced crystals from each side to be repositioned in order to fully resolve the vertigo.

In order to diagnose bilateral BPPV, the Dix-Hallpike maneuver is first performed as shown.

If nystagmus, the rhythmic twitching of the eyes, appears when the head is lowered to one side...

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