BPPV is a mechanical problem in the inner ear. It occurs when some of the calcium carbonate crystals (otoconia) that are normally embedded in gel in the utricle become dislodged and migrate into one or more of the 3 fluid-filled semicircular canals, where they are not supposed to be.
The signs and symptoms: Dizziness, A sense that you or your surroundings are spinning or moving (vertigo), A loss of balance or unsteadiness, Nausea, Vomiting. May treat you with a series of movements known as the canalith repositioning procedure, Surgical treatment.
Out of a series of 1617 consecutive admitted patients, 36 presented isolated recurrent vertiginous events. A vestibular vertigo was retained in 36 patients with a final diagnosis of BPPV in 20.
Treatment options include watchful waiting, vestibulosuppressant medication, vestibular rehabilitation, canalith repositioning, and surgery.