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Updated: May 28, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
06:30

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Published on: April 28, 2020

Subjective benign paroxysmal positional vertigo.

Dimitrios G Balatsouras1, Stavros G Korres

  • 1ENT Department, Tzanion General Hospital, Piraeus, Greece. dbalats@hotmail.com

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 15, 2011
PubMed
Summary
This summary is machine-generated.

Subjective benign paroxysmal positional vertigo (BPPV) is common and shares features with typical BPPV, but lacks nystagmus. Treatment success rates are similar for both subjective and typical BPPV.

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Area of Science:

  • Otolaryngology
  • Neurology
  • Vestibular Disorders

Background:

  • Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo.
  • Subjective BPPV presents with vertigo but lacks objective nystagmus on testing.
  • Understanding subjective BPPV is crucial for accurate diagnosis and effective management.

Purpose of the Study:

  • To investigate the characteristics and treatment outcomes of subjective BPPV.
  • To compare subjective BPPV with typical BPPV in terms of clinical and demographic features.
  • To evaluate the efficacy of canalith repositioning procedures for subjective BPPV.

Main Methods:

  • Prospective clinical trial at a tertiary referral center.
  • Studied 63 patients with subjective BPPV (vertigo but negative nystagmus tests).
  • Utilized comprehensive history, physical examination, audiologic/neurotologic assessment, and videonystagmography.

Main Results:

  • 45 of 63 patients with subjective BPPV were successfully treated.
  • Treatment failure occurred in 13.5% of subjective BPPV cases after excluding other causes.
  • Subjective BPPV patients showed similar epidemiological and clinical features to typical BPPV patients.

Conclusions:

  • Subjective BPPV is a frequent condition, representing over a quarter of typical BPPV cases.
  • Subjective BPPV shares many features with typical BPPV, differing primarily in the absence of nystagmus.
  • No significant difference in treatment outcomes was observed between subjective and typical BPPV, though larger studies are warranted.