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Related Experiment Video

Updated: Jul 10, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

Published on: April 28, 2020

Should patients with benign positional vertigo be imaged?

O Young¹, P Sheahan, D Rawluk

¹Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin. orla_young@hotmail.com

Irish Medical Journal

|October 25, 2007

Summary

Benign positional vertigo (BPV) patients with specific warning signs may have unexpected intracranial pathology. Imaging is recommended for this subgroup to detect conditions like aneurysms or malformations.

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Last Updated: Jul 10, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

Published on: August 30, 2019

Area of Science:

Neurology
Otolaryngology
Radiology

Background:

Benign positional vertigo (BPV) is typically diagnosed via a positive Hallpike's maneuver.
Intracranial pathology is rarely found in BPV patients without other neurological symptoms.

Purpose of the Study:

To determine the incidence of unexpected intracranial pathology in patients diagnosed with BPV.
To evaluate the utility of radiological imaging in identifying these pathologies.

Main Methods:

Retrospective review of 145 consecutive patients diagnosed with posterior semi-circular canal BPV.
Analysis of MRI findings in 63 of these patients.

Main Results:

3.2% of patients who underwent MRI had cerebral aneurysms.
1.58% had an epidermoid cyst.
One patient had a large right parietal arterio-venous malformation.

Conclusions:

Certain warning signs, such as failed Epley maneuver response or hearing asymmetry, may indicate underlying intracranial pathology in BPV patients.
Radiological imaging is advocated for a subgroup of BPV patients exhibiting these warning signs.