Related Experiment Video
Updated: Aug 15, 2026
05:02
Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
Management of bilateral benign paroxysmal positional vertigo
Daniel M Kaplan1, Michel Nash, Alexander Niv
1Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and Ben Gurion University of the Negev, Beer Sheva, Israel. dankap@bgumail.bgu.ac.il
Summary
Bilateral benign paroxysmal positional vertigo (BiBPPV) patients typically present with vertigo and unsteadiness. Successful management is achieved through Epley's maneuver (EM), with repeated treatments as necessary.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular Disorders
Background:
- Bilateral benign paroxysmal positional vertigo (BiBPPV) is a common vestibular disorder.
- Understanding its demographics, management, and outcomes is crucial for effective patient care.
Purpose of the Study:
- To describe the characteristics of patients diagnosed with BiBPPV.
- To evaluate the effectiveness of Epley's maneuver (EM) in managing BiBPPV.
- To report on patient outcomes following treatment for BiBPPV.
Main Methods:
- A retrospective review of patients diagnosed and treated for BiBPPV over 36 months.
- Epley's maneuver (EM) was performed on the more symptomatic side.
- Patients received follow-up and re-treatment as indicated.
Main Results:
- Ten patients with BiBPPV were identified (6 females, 4 males; mean age 54).
- Four patients had a history of head trauma.
- All patients recovered after a mean of 2.6 EM treatments within 3 months; one patient had a successful re-treatment for recurrence.
Conclusions:
- BiBPPV exhibits characteristic clinical features.
- Epley's maneuver (EM), applied to the more affected side with subsequent treatments as needed, offers successful management for BiBPPV.
Related Concept Videos
01:15Equilibrium and Balance
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
01:29The Vestibular System
The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
01:27Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
01:28Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...