Benign positional vertigo (spinning)
About Benign positional vertigo (spinning)
Sudden sensation of unsteadiness or that the surroundings are moving. One feels as if spinning around on a merry-go-round or that the head is spinning. Benign positional vertigo (BPV) is one of the most common disorders that can cause vertigo. Symptoms increase with head movement and seem to get better when the eyes are closed and the head is still. BPV is common, especially in people over age 60.Symptoms
Dizziness, vertigo, nausea, vomiting, symptoms increase with head movement.Tests & Diagnostics
A history and physical exam will be performed, looking for eye movements called nystagmus. A Dix-Hallpike maneuver that tilts the head into certain positions may be performed. If symptoms are unusual or especially severe, brain CT scan or brain MRI may be done to rule out other causes.Common tests: CT Scan, MRI.
OTC sleep aids and supportive treatments
Prescription medications
Conventional treatment summary
Treatment consists of maneuvers of the head to reposition particles in the middle ear (canalith repositioning procedure). Symptomatic treatment with antihistamines (meclizine/Antivert) may be prescribed. Rarely, surgery may be considered.Medical specialties
Internal Medicine · Neurology · Family Practice · Ear, Nose, and Throat (ENT) · Pediatric Neurology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Benign positional vertigo (spinning).