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Benign paroxysmal positional vertigo: what is it, symptoms and treatment

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The benign paroxysmal positional vertigo, also called postural vertigo, is the most common type of vertigo, especially in elderly people, and is characterized by the appearance of seas at moments such as getting up from bed, turning around in bed during swine or looking quickly there was a top

In the vertigo, small calcium crystals that are present inside the internal noise disperse, float, and are positioned in the wrong place, causing the sensation that the world is giving tours, causing an imbalance. But the use of a special maneuver can be enough to definitively cure the seas, by putting these crystals back in the correct place, definitively eliminating the vertigo.

main symptoms

The main symptom is the rotating vertigo, which generates seas and the sensation that everything is giving back to your surroundings when carrying out rapid or sudden movements such as:



  • Getting out of bed for mornings;
  • Acostar and turn in the bed during the sweat;
  • Rotate the head back, extending the cuello to look up, and then look down;
  • From standing to make a sudden movement, which could cause a fall.

The feeling of the sea is usually quick and lasts less than 1 minute, but in some cases several episodes can occur for weeks or months, impairing day-to-day activities.

Some people manage to identify which side, when rotating the head, is capable of causing the tide. The diagnosis is made by the general physician or the neurologist and the case of the elderly by the geriatrician, to carry out some techniques in the office that provokes seas, when it is not necessary to carry out any other examination.

How is the treatment performed?

The treatment must be indicated by the doctor and generally includes physiotherapy, where specific maneuvers are carried out to put the calcium crystals back inside the internal fluid.

The maneuver must be performed depending on which side the internal sound is affected and where the crystals are positioned in the anterior, lateral or posterior semicircular canal. 80% of the times the crystals are positioned in the posterior semicircular canal, and Epley’s maneuver, which consists of extending the head back, followed by lateralization and rotation of the head, may be enough to immediately end the vertigo. See step by step how to do this technique.



The maneuver is performed only once, but sometimes it is necessary to repeat the treatment with the same maneuver 1 week or after 15 days. But performing this maneuver only once has a 90% chance of being cured of this type of vertigo.

Medications are not always necessary, but the doctor may indicate labyrinthine sedatives and, in very rare cases, he may indicate the performance of a surgery, the latter only used in case there is no improvement in the symptoms with the maneuvers, exercises or medications , being a risky practice that can harm the hearing.

Watch in the video the continuation of the exercises that can help:

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Consult a Doctor | Translated by User2937

Content for educational purposes only

The translator user relied on the following text:

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Disclaimer – (English version>) This content has been prepared based on information from research, additional publications, or the translation/verification work of a volunteer editor of this web council. This is a non-profit service. It is strongly recommended that all details and information published be carefully verified. We never allow medication recommendations, medication package inserts or any medication guidance. We never allow partisan politics as information.

Isenção de responsabilidade – (versão em português): Este conteúdo foi preparado com base em informações de pesquisas, publicações adicionais ou no trabalho de tradução/verificação de um editor voluntário deste conselho web. Este é um serviço sem fins lucrativos. É altamente recomendável que todos os detalhes e informações publicadas sejam verificadas cuidadosamente. Nunca permitimos recomendações de medicamentos, bulas ou qualquer orientação sobre medicamentos. Nunca permitimos a política partidária como base para checagem. Para mais informações, leia nossos termos.

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