Benign paroxysmal positional vertigo

Diagnosis

-first decide which ear affected- do Dix Hallpike test w head rotated to R and neck hyperextended and head hanging off bed- if get R sided nystagmus then R ear affected

- once decide which ear affected- do bedside manuever on that ear

Treatment

L Ear Affected

- place pt recumbant w head turned to left, head hanging off of bed and chin pointing up and wait for sxs to stop

- then rotate head and body until R ear down

- then rotate further until face down

- vertex of head kept down throughout rotation

- keep face down for 15 sec

- bring pt back to seated position with head turned to R

- now keep chin down