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.
A study of a nationally representative sample of 4,869 adults living in Germany who were screened for moderate or severe dizziness found a prevalence of 22.9% for dizziness/vertigo in the prior 12 months . In that study, the prevalence and incidence of vestibular vertigo were 4.9% and 1.4%, respectively. n a large registry that included data collected from 4,294 patients with vertigo in 13 countries generated over a 28-month period (the Registry to Evaluate the Burden of Disease in Vertigo, the so-called REVERT registry) nearly 1/3 were diagnosed to have BPPV.
Treatment options include watchful waiting, vestibulosuppressant medication, vestibular rehabilitation, canalith repositioning, and surgery.