*  Effectiveness of the Epley Manoeuvre Performed in Primary Care to Treat Benign Paroxysmal Positional Vertigo - Full Text View -...
Vertigo is a common medical issue with a broad expectrum of diagnoses that requires a global approach to patients through structured clinical interview and physical examination. The main cause of vertigo in primary care is benign paroxysmal positional vertigo (BPPV) that is confirmed by a positive Dix-Hallpike positional test and treated with repositioning manoeuvres. Objective: To evaluate the effectiveness of Epley's manoeuvre performed by general practitioners (GPs) in the treatment of BPPV. Design: randomized clinical trial conducted in primary care. Scope: Two urban centres serving about 50,000 patients. Patients: All patients with newly diagnosed BPPV will be offered to participate in the study and will be randomly assigned to the treatment group (Epley manoeuvre) or control group (sham manoeuvre) and both groups will receive betahistine. Outcome variables will be: response to the Dix Hallpike test, ...
  https://clinicaltrials.gov/ct2/show/NCT01969513?recr=Open&cond=%22Vestibular+Diseases%22&rank=9
*  Causes of Vertigo and Vertigo Treatment | Health and Fitness Tips
With numbers so high, understanding causes of vertigo, and recognizing the signs and symptoms of vertigo, some natural treatments of vertigo symptoms include:. … may also be performed depending on the suspected cause. treatments for vertigo include acoustic neuroma is an uncommon cause of vertigo related to a type of. … an easy to understand guide covering causes, diagnosis, symptoms, treatment and prevention plus additional in other causes of vertigo may result in symptoms.. Vertigo treatment and causes overview. when your dizziness results from anxiety disorders the usual vertigo treatment recommended is medications and. Vertigo causes; vertigo diagnosis; ...
  http://healthandfitnesstipsforyou.com/vertigo/
*  Benign paroxysmal positional vertigo (BPPV) Risk factors - Mayo Clinic
Inside your ear is a tiny organ called the vestibular labyrinth. It includes three loop-shaped structures (semicircular canals) that contain fluid and fine, hair-like sensors that monitor the rotation of your head.. Other structures (otolith organs) in your ear monitor movements of your head - up and down, right and left, back and forth - and your head's position related to gravity. These otolith organs contain crystals that make you sensitive to gravity.. For a variety of reasons, these crystals can become dislodged. When they become dislodged, they can move into one of the semicircular canals - especially while you're lying down. This causes the semicircular canal to become sensitive to head position changes it would normally not respond to, which is what makes you feel dizzy.. Benign paroxysmal positional vertigo occurs most often in people age 50 and older, but can occur at any age. Benign paroxysmal positional vertigo ...
  http://www.mayoclinic.org/diseases-conditions/vertigo/basics/risk-factors/CON-20028216?p=1
*  Otoliths after BPPV maneuvers
The following topics are available for your exploration: What is Benign Paroxysmal Positional Vertigo?, What Causes Benign Paroxysmal Positional Vertigo?, How is Benign Paroxysmal Positional Vertigo Diagnosed?, How is Benign Paroxysmal Positional Vertigo Treated?, How Might Benign Paroxysmal Positional Vertigo Affect My Life?, Where Can I Go for Help?, What is Atypical Benign Paroxysmal Positional Vertigo?
  http://dizziness-and-balance.com/disorders/bppv/otoconia-go.html
*  Inha DSpace: Clinical characteristics of benign paroxysmal positional vertigo in Korea: A multicenter study
Benign paroxysmal positional vertigo (BPPV) is characterized by episodic vertigo and nystagmus provoked by head motions. To study the characteristics of BPPV in a large group of patients in Korea, we retrospectively analyzed clinical features of 1,692 patients (women: 1,146, 67.7%; men: 54.6, 32.3%; mean age: 54.8 +/- 14.0 yr), who had been diagnosed as BPPV by trained neuro-otologists Dizziness Clinics. The diagnosis of BPPV was based on typical nystagmus elicited by positioning maneuvers. Posterior semicircular canal was involved in 60.9% of the patients, horizontal canal in 31.9%, anterior canal in 2.2%, and mixed canals in 5.0%. The horizontal canal type of BPPV (HC-BPPV) comprised 49.5% of geotropic and 50.5% of apogeotropic types. We could observe significant negative correlation between the proportion of HC-BPPV of each clinic and the mean time interval between the symptom onset and the first visit to the clinics (r= -0.841, p , ...
  https://dspace.inha.ac.kr/handle/10505/1715
*  Dix-Hallpike Test for Vertigo | PeaceHealth
The Dix-Hallpike test (also called Nylen-Barany test) determines whether vertigo is triggered by certain head movements. Your doctor will carefully observe any involuntary eye movements (nystagmus) that may occur during this test to determine if the cause of your vertigo is central or peripheral. Central vertigo is caused by a problem inside the brain, and peripheral vertigo is caused by a problem with the inner ear or the nerve leaving the inner ear. The Dix-Hallpike test also can help determine which ear is likely affected. During the test:. ...
  https://www.peacehealth.org/medical-topics/content/testdetail/hw262771.html
*  Benign Paroxysmal Positional Vertigo - BPPV: Causes - Treatment - NYEE
Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness or vertigo in adults.. BPPV occurs because tiny little calcium crystals, that everyone has in their inner ear as a part of the normal organ of balance, break off and move around with position change. These calcium crystals can break loose as a result of head trauma, a virus, or for no apparent reason at all. People with BPPV most commonly become dizzy when rolling over in bed or when looking up or down.. ...
  http://www.nyee.edu/patient-care/medical-information/benign-paroxysmal-positional-vertigo
*  Benign Paroxysmal Positional Vertigo | Aventura Hospital & Medical Center | Aventura, FL
Learn more about Benign Paroxysmal Positional Vertigo at Aventura Hospital & Medical Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
  https://aventurahospital.com/hl/?/432304/Benign-paroxysmal-positional-vertigo&com.dotmarketing.htmlpage.language=1
*  Benign Paroxysmal Positional Vertigo | Cartersville Medical Center
Learn more about Benign Paroxysmal Positional Vertigo at Cartersville Medical Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
  http://cartersvillemedical.com/hl/?/432304/sp&com.dotmarketing.htmlpage.language=1
*  Benign Paroxysmal Positional Vertigo | Grand Strand Health
Learn more about Benign Paroxysmal Positional Vertigo at Grand Strand Medical Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
  http://grandstrandmed.com/hl/?/432304/Positional-vertigo-of-barany&com.dotmarketing.htmlpage.language=1
*  Benign postural vertigo | Article about benign postural vertigo by The Free Dictionary
Looking for benign postural vertigo? Find out information about benign postural vertigo. sensations of moving in space or of objects moving about a person and the resultant difficulty in maintaining equilibrium. True vertigo, as distinguished... Explanation of benign postural vertigo
  http://encyclopedia2.thefreedictionary.com/benign+postural+vertigo
*  Pseudo-Spontaneous Nystagmus in Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo
In previous studies, the frequency of PSN in LC-BPPV has been reported to vary from 40.1% to 76%, and to increase to 56.2-96% after mild head shaking [3,4,10]. In the present study, this ratio for patients showing PSN was only 16.8%, which is considerably lower than in previous reports. Two situations at the outpatient clinic can account for this difference. First in the present study, the time devoted at the clinic to examining spontaneous nystagmus was relatively short, although it was sufficient to detect apparent nystagmus (minimum 10 seconds). Second, and more important, the head position of the patients was not precisely controlled. The existence and direction of PSN were observed immediately after a patient sat on a chair with his/her head roughly earth vertical. Patients with LC-BPPV naturally prefer to bend their head slightly forward, since this posture minimizes movement of otolith particles in the lateral semicircular canal. Otherwise, patients favor at least having the head ...
  https://www.e-ceo.org/journal/view.php?doi=10.3342/ceo.2012.5.4.201
*  What Causes Dizziness From Vertigo?
All forms of vertigo are accompanied by a special type of eye movement called nystagmus. If you look at the eyes of someone having an attack of vertigo, you'll see them moving together slowly in one direction and then quickly back in the opposite direction. It's the rapid eye movement that is interpreted by our brain as the room spinning around us. If severe and prolonged, this can literally make one sea sick, with nausea and vomiting.. Vertigo can have many different causes. It is usually classified as either central or peripheral.. Central vertigo originates in the brain or spinal cord, and can arise from blocked blood vessels in the brain, from diseases like multiple sclerosis, or from migraine attacks is usually accompanied by other symptoms. Loss of coordination, double vision, difficulty speaking, weakness or numbness ...
  http://www.healthsearchonline.com/what-causes-dizziness-vertigo/
*  Most recent papers with the keyword Positional Vertigo | Read by QxMD
Objective: To investigate the relationship between the recurrence of benign paroxysmal positional vertigo(BPPV) and the levels of bone mineral density(BMD) and estrogen in postmenopausal women. Methods: A total of 38 postmenopausal women with recurrent BPPV were recruited as study group, in the First Affiliated Hospital of Soochow University from December 2013 to June 2017. Meanwhile, 49 normal menopausal women were included as control. All patients were natural menopausal for over one year.The patients were diagnosed as BPPV based on results of Dix-Hallpike test and Roll-test, with at least two episodes of recurrent onset ...
  https://www.readbyqxmd.com/keyword/61632
*  Vertigo. - Dr. Sayeed Ahmad
Dr. Sayeed Ahmad D. I. Hom. (London). Vertigo, sensation of spinning around or of seeing nearby objects revolve. Vertigo tends to be accompanied by nausea, vomiting, headache, or sweating.. Diseases of the cerebral cortex, eye muscles, or cerebellum can cause true vertigo, but such diseases are rare. Inflammation, infection, or other diseases of the semicircular canals of the inner ear, such as labyrinthitis (inflammation of the labyrinth), are more common causes and are frequently accompanied by auditory sensations, such as deafness and ringing in the ear (aural vertigo), and by rapid eye movements (nystagmus). These diseases generally last only a few weeks, during which the vertigo is usually experienced briefly and intermittently.. In his article, David H. Frankel explained that ...
  http://homeoint.org/site/ahmad/vertigo.htm
*  Dizziness & Vertigo Program | Blue Heron Health News
Vertigo And Dizziness Relief Program. Most people suffering from vertigo have to take several kinds of medications, each causing worse and worse side effects. People often spend a bunch of money on drugs … often with little or no results.. Until recently there was no natural way to treat vertigo and dizziness … but now Natural Vertigo And Dizziness Relief Program has come along … it treats vertigo in a natural healthy way, through exercises that are very easy to practice and learn. Now You Can Jump Into The Sales Flow and Promote This Unique Program for a 50% Commission!. Get Paid For Helping People Permanently Eliminate Vertigo and Dizziness!. ...
  http://blueheronaffiliates.com/health-guides/dizziness-vertigo-program/
*  Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry
We identified 10% of participants with secondary BPPV, presumably due to head trauma, acute unilateral vestibular loss or intubation. Numerous factors associated with BPPV have been reported previously, including advanced age,14 female sex,14 head trauma,14 other ear disease,14 migraine,25,26 diabetes,27 osteoporosis28 and intubation.14 Presumably, most of these conditions promote detachment of otoconia from the otolith organs whereas intubation may facilitate entry of otoconia into the posterior semicircular canal in the supine position when the head is reclined. The proportion of patients with BPPV attributed to other disorders varies between one-third and two-thirds in the literature, depending on the definition of secondary BPPV.14-16 Other inner ear diseases ipsilateral to the labyrinth affected by BPPV have been described in only 3% of patients.29 However, in these mostly uncontrolled studies, an independent or causal association of most of these factors with BPPV remains ...
  http://jnnp.bmj.com/content/78/7/710.full
*  Vertigo skin disease - Things You Didn't Know
Vertigo skin disease - What do you advise if I'm female age-55 facing/feeling head vertigo (revolving every thing)plz tell me treatment of the said disease? Vertigo. Vertigo is a complex problem and not all vertigo is the same. Treatment depends on the exact kind of vertigo. You could have BPPV or Meniere's disease. You could be suffering with migraine headache. Could be something neurologic or even just hyperventilation. You need to be evaluated to determine the right diagnosis to be able to get to the correct treatment. Good luck
  https://www.healthtap.com/topics/vertigo-skin-disease
*  Exercise for Vertigo (spinning) : Epley's exercises | Dr Ko Ko Gyi's Blog
Source_Wikipedia : Exercise for Vertigo (a whirling or spinning movement) The Epley maneuver (or Epley's exercises) is a maneuver used to treat benign paroxysmal positional vertigo (BPPV). It is often performed by a doctor or a physical therapist, but can be performed by the patient at home. This maneuver was developed by Dr. John Epley…
  https://drkokogyi.wordpress.com/2010/11/04/exercise-for-vertigo-spinning-epleys-exercises/
*  Migraine-associated vertigo and dizziness as presenting complaint in a private general medical practice
Migraine-associated vertigo (MV) remains a developing entity because accepted diagnostic criteria are unavailable. Patients present with debilitating dizziness without experiencing headache, and are often misdiagnosed as anxious. The condition is manageable in primary care without the need for neurological referral. The aim of this study was to investigate the prevalence of MV and migraine-associated dizziness (MD) as presenting complaints. Methods: Patients presented with dizziness probably or definitely associated with migraine history based on the criteria of the International Headache Society. Patients with other vestibulopathies and medical conditions were excluded. Patients were evaluated over a period of nine months. Seven hundred and seventeen patients were examined. The numbers of patients were recorded as a percentage of the population visiting a general practitioner. Response to migraine prophylactic medications was regarded as supporting evidence of the ...
  http://repository.up.ac.za/handle/2263/16797
*  vertigo - Articles
vertigo - MedHelp's vertigo Center for Information, Symptoms, Resources, Treatments and Tools for vertigo. Find vertigo information, treatments for vertigo and vertigo symptoms.
  http://www.medhelp.org/tags/show/7512/vertigo?section=articles
*  3D Reconstruction Helps Explain Vertigo
Three-dimensional reconstruction of high-resolution MR imaging sequences can be used to measure volume in the vestibular system in patients with vertigo, and help explain the symptoms, according to research presented at RSNA 2013.. Vertigo is a common symptom in patients seeking medical help from ear, nose and throat physicians, said Nagy N. Naguib, M.Sc., of the Johann Wolfgang Goethe University Hospital in Frankfurt, Germany, and the Department of Radiology, Alexandria University in Alexandria, Egypt. In fact, according to Dr. Naguib, vertigo and headache account for two of the most common complaints of patients seeking medical help.. "While MRI is a useful tool in the evaluation of vertigo patients, there are still some cases that don't show any detectable structural changes on MRI," Dr. Naguib said. "We thought it would be helpful to assess the volume of the vestibular ...
  https://www.rsna.org/NewsDetail.aspx?id=11325
*  Accurate Videos of Epley Maneuver Available on YouTube - MPR
Video-sharing Web sites such as YouTube accurately demonstrate the Epley Maneuver (EM), a simple treatment for benign paroxysmal positional vertigo of the posterior canal.
  http://www.empr.com/medical-news/accurate-videos-of-epley-maneuver-available-on-youtube/article/251475/
*  Diagnostic Testing
BPPV - Benign Paroxysmal Positional Vertigo is a common cause of dizziness. Symptoms include dizziness, imbalancement, nausea, and lightheadedness. It is caused by "ear rocks" or calcium deposits that have collected in the inner ear. Usually, a change in position of the head elicits symptoms. Many report the room or objects in the room will spin. Vertigo, when getting out of bed and rolling over in bed, are common complaints associated with BPPV.. BPPV can usually be diagnosed by history and physical examination, but the Dix-Hallpike test (also called Nylen-Barany test) verifies the diagnosis for BPPV.. During the test, your doctor will observe any involuntary eye movements (nystagmus) that may occur. This test locates the cause of vertigo as either the inner ear or the brain.. Depending on the results elicited, treatment may include the Epley or Semont ...
  http://www.entofloudoun.com/services/diagnostic-testing/
*  Extremely Long Latency Benign Paroxysmal Positional Vertigo
Several factors affecting latency might explain the extremely long latencies observed. As mentioned in the introduction, latency is a result of otoconial size and starting position in the ampulla and also viscous interactions between the wall and the otoconia. Major structural abnormalities of the SCCs were ruled out after a normal temporal bone MRI-scan was done. Increased otoconial size increases viscous interactions between the wall and otoconia, thereby extending the time needed for otoconia to reach a point in the SCC where it exerts a fluid pressure sufficient enough to elicit nystagmus. It has been suggested, that BPPV refractory to treatment might be due to structural abnormalities in the SCC [7]. Larger otoconia fall more quickly and causes nystagmus with shorter latencies [5]. Knowing this, very small otoconia would theoretically be able to cause nystagmus with very long latencies. However, it seems unlikely that this mechanism is responsible for latencies lasting up to five minutes. ...
  http://e-rvs.org/journal/view.php?number=710