Which are the symptoms of Benign Paroxysmal Positional Vertigo?

Symptoms of Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Positional Vertigo (BPPV) is a common vestibular disorder that causes brief episodes of intense dizziness or vertigo. It occurs when small calcium crystals in the inner ear become dislodged and migrate into the fluid-filled canals responsible for detecting head movements. These displaced crystals disrupt the normal flow of fluid, leading to a false sense of motion and triggering symptoms of BPPV.

The primary symptom of BPPV is vertigo, which is a spinning sensation that can range from mild to severe. Vertigo episodes typically last for less than a minute but can be quite distressing. The vertigo experienced in BPPV is usually triggered by specific head movements, such as rolling over in bed, looking up, or bending down.

In addition to vertigo, individuals with BPPV may experience the following symptoms:

• Dizziness: A feeling of lightheadedness or unsteadiness, often accompanied by a loss of balance.


• Nausea: Some people with BPPV may feel nauseous or experience a sensation of queasiness during vertigo episodes.


• Vomiting: In severe cases, the intense dizziness and nausea may lead to vomiting.


• Uncontrolled eye movements: BPPV can cause rapid, involuntary eye movements called nystagmus. These eye movements may occur during vertigo episodes and can be observed by a healthcare professional during an examination.


• Imbalance: BPPV can disrupt the body's sense of balance, leading to unsteadiness while walking or performing daily activities.


• Disorientation: During vertigo episodes, individuals may feel disoriented or have difficulty focusing on their surroundings.


• Anxiety: The sudden and unpredictable nature of BPPV episodes can cause anxiety and fear of triggering further episodes.

BPPV symptoms can vary in frequency and intensity from person to person. Some individuals may experience frequent episodes, while others may have longer intervals between episodes. Symptoms may also resolve spontaneously and then reoccur after a period of time.

If you suspect you have BPPV or are experiencing any of the symptoms mentioned above, it is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. BPPV can often be effectively managed through specific head and body movements, known as canalith repositioning procedures, which help to reposition the displaced calcium crystals in the inner ear.