Table of ContentsView AllTable of ContentsCausesSymptomsDiagnosisTreatmentThe Epley ManeuverThe Semont ManeuverBrandt-Daroff ExercisesSurgical Treatment

Table of ContentsView All

View All

Table of Contents

Causes

Symptoms

Diagnosis

Treatment

The Epley Maneuver

The Semont Maneuver

Brandt-Daroff Exercises

Surgical Treatment

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Symptoms of BPPV can sometimes lessen in severity or go away after about six months. Symptoms of BPPV appear with changes in your position such as standing up from lying down or turning in bed. They may vary slightly among individuals butcommon symptoms include:

Anti-nausea medications such as ondansetron or medications used for motion sickness may be helpful intreating nauseaassociated with BPPV. Otherwise, medications do not seem very beneficial in treating the disorder. BPPV can be treated using treatments called the Epley and Semont Maneuvers and Brandt-Daroff exercises.

During the Semont maneuver, the doctor will tilt your head in different directions while you are in a seated position.Finally, he will tilt your head and gradually assist you until you are lying down on the unaffected ear with your nose pointed down. You will remain in this position for 3 minutes. Then the doctor will gradually help you back into a seated position.

There isabout an 80 percent chance of both the Epley and Semont maneuversworking and a chance that symptoms of BPPV will reoccur. Your doctor may give you instructions on exercises or positions you should avoid after having these maneuvers done.

Surgical treatment for BPPV is controversial and in general not performed.

While BPPV can be difficult to cope with and will certainly require you to modify your daily life, most patients are treated successfully.

Breathing Exercises for Vertigo

3 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Lundberg YW, Xu Y, Thiessen KD, Kramer KL.Mechanisms of otoconia and otolith development: mechanisms of otoconia and otolith development.Dev Dyn. 2015;244(3):239-253. doi. 10.1002/dvdy.24195.Nguyen C-T, Basso M.Epley maneuver. In:StatPearls.StatPearls. PMID. 33085434.Oh S-Y, Kim J-S, Choi K-D, et al.Switch to Semont maneuver is no better than repetition of Epley maneuver in treating refractory BPPV.J Neurol. 2017;264(9):1892-1898. doi. 10.1007/s00415-017-8580-2.Additional ReadingZalewski, Chris MA, CCC-A. What is Benign Paroxysmal Positional Vertigo (BPPV)?. ASHA

3 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Lundberg YW, Xu Y, Thiessen KD, Kramer KL.Mechanisms of otoconia and otolith development: mechanisms of otoconia and otolith development.Dev Dyn. 2015;244(3):239-253. doi. 10.1002/dvdy.24195.Nguyen C-T, Basso M.Epley maneuver. In:StatPearls.StatPearls. PMID. 33085434.Oh S-Y, Kim J-S, Choi K-D, et al.Switch to Semont maneuver is no better than repetition of Epley maneuver in treating refractory BPPV.J Neurol. 2017;264(9):1892-1898. doi. 10.1007/s00415-017-8580-2.Additional ReadingZalewski, Chris MA, CCC-A. What is Benign Paroxysmal Positional Vertigo (BPPV)?. ASHA

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Lundberg YW, Xu Y, Thiessen KD, Kramer KL.Mechanisms of otoconia and otolith development: mechanisms of otoconia and otolith development.Dev Dyn. 2015;244(3):239-253. doi. 10.1002/dvdy.24195.Nguyen C-T, Basso M.Epley maneuver. In:StatPearls.StatPearls. PMID. 33085434.Oh S-Y, Kim J-S, Choi K-D, et al.Switch to Semont maneuver is no better than repetition of Epley maneuver in treating refractory BPPV.J Neurol. 2017;264(9):1892-1898. doi. 10.1007/s00415-017-8580-2.

Lundberg YW, Xu Y, Thiessen KD, Kramer KL.Mechanisms of otoconia and otolith development: mechanisms of otoconia and otolith development.Dev Dyn. 2015;244(3):239-253. doi. 10.1002/dvdy.24195.

Nguyen C-T, Basso M.Epley maneuver. In:StatPearls.StatPearls. PMID. 33085434.

Oh S-Y, Kim J-S, Choi K-D, et al.Switch to Semont maneuver is no better than repetition of Epley maneuver in treating refractory BPPV.J Neurol. 2017;264(9):1892-1898. doi. 10.1007/s00415-017-8580-2.

Zalewski, Chris MA, CCC-A. What is Benign Paroxysmal Positional Vertigo (BPPV)?. ASHA

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