{"id":397,"date":"2021-01-04T16:51:58","date_gmt":"2021-01-04T23:51:58","guid":{"rendered":"https:\/\/neurotucson.fm1.dev\/ear-hearing\/ear-specific-dizziness\/benign-paroxysmal-postional-vertigo-bppv\/"},"modified":"2024-02-21T11:23:55","modified_gmt":"2024-02-21T18:23:55","slug":"benign-paroxysmal-postional-vertigo-bppv","status":"publish","type":"page","link":"https:\/\/neurotucson.com\/ear-hearing\/ear-specific-dizziness\/benign-paroxysmal-postional-vertigo-bppv\/","title":{"rendered":"Benign Paroxysmal Postional Vertigo (BPPV)"},"content":{"rendered":"\n<script type=\"application\/ld+json\"> \n\n{ \n\n  \"@context\": \"https:\/\/schema.org\", \n\n  \"@type\": \"FAQPage\", \n\n  \"mainEntity\": [{ \n\n    \"@type\": \"Question\", \n\n    \"name\": \"What is BPPV?\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"Benign paroxysmal positional vertigo, commonly referred to as BPPV, is a vestibular disorder that causes vertigo. It occurs when calcium deposits in the inner ear become dislodged from the otolithic membrane and settle in the semicircular canals. Any change in the position of the head causes these tiny crystals to shift, triggering dizziness. \" \n\n    } \n\n  }, { \n\n    \"@type\": \"Question\", \n\n    \"name\": \"What Causes BPPV? \", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"It isn\u2019t always known what causes these calcium deposits to break loose, though this is commonly the result of a head injury, inner ear infection, damage from ear surgery or prolonged back position associated with bed rest. Migraines might also play a role. Older patients are susceptible to degeneration of the otolithic membrane related to normal aging.\" \n\n    } \n\n  }, { \n\n    \"@type\": \"Question\", \n\n    \"name\": \"What Are the Symptoms of BPPV?\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"BPPV is the most common cause of vertigo. The episodes of vertigo may be severe, but usually lasts for less than a minute. Other symptoms include dizziness or lightheadedness, loss of balance, blurred vision, nausea, vomiting and concentration difficulties.\" \n\n    } \n\n }, { \n\n    \"@type\": \"Question\", \n\n    \"name\": \"How Is BPPV Diagnosed?\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"If you are experiencing dizziness and unexplained episodes of vertigo, your doctor will administer tests to determine what is causing your symptoms. A diagnostic physical exam evaluates eye movements in response to specific head movements. Additional testing such as electronystagmography (ENG) and videonystagmography (VNG) may be used to detect abnormal eye movement; an ENG utilizes electrodes, while the VNG test relies on small cameras. \" \n\n    } \n\n}, { \n\n    \"@type\": \"Question\", \n\n    \"name\": \"How is BPPV Treated?\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"Fortunately, BPPV is one of the more easily treatable disorders. The standard approach involves a pattern of head movements used to move the calcium particle from the semicircular canal back to the utricle. Called the Canalith Repositioning Procedure (CRP) or the Epley maneuver, this brief procedure takes about five minutes and relieves symptoms in over 85 percent of patients. If CRP is ineffective, patients may undergo surgery; both posterior semicircular canal occlusion and vestibular nerve section have proven effective, but carry a risk of hearing loss following surgery. Treatment with the antibiotic gentamicin and vestibular rehabilitation may also prove successful. \" \n\n    } \n\n } \n\n ] \n\n  } \n\n<\/script>\n\n\n\n<p>The term \u201cvertigo\u201d refers to the feeling that you or the outside world is spinning or tilting while in fact, you are not moving. Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of short-duration true vertigo. BPPV originates in the inner ear when tiny crystals called otoconia become dislodged and float into the semicircular canals. The otoconia normally provide information about gravity and motion (linear acceleration), but when they are dislodged into the balance canals, your brain receives false information from the ear about where your head is positioned in space. The vertigo typically lasts for less than a minute and begins a few seconds after moving your head into a side-tilt position. Nausea, vomiting, or nystagmus (abnormal rhythmic eye movements) may accompany the sensation of vertigo.<\/p>\n\n\n\n<p>BPPV is triggered by a variety of activities, but changing position of the head is always involved. For example, rolling over in bed, looking up at a kitchen cabinet, and bending down while looking forward may initiate the vertigo. BPPV is most common in people over age 60, but can also occur in younger people, especially following a head injury. BPPV may be intermittent, where the symptoms last for a few days to a few weeks, disappear for a while, and then return.<\/p>\n\n\n\n<p>Because BPPV can go away on its own, observation is one treatment option. Most commonly, however, a <a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/canalith-repositioning-procedure\/about\/pac-20393315?p=1\" target=\"_blank\" rel=\"noreferrer noopener\">canalith-repositioning maneuver<\/a> such as the Epley Maneuver is performed in order to move otoconia back into the place where they originated. The head is moved slowly through several positions and held in each position for about 30 seconds. Using medications to treat this type of vertigo is not recommended; however, medications to treat nausea may be prescribed as symptomatic relief. Less than 5% of BPPV patients will require surgical intervention (semicircular canal plugging) to resolve their symptoms.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why Choose Us<\/h2>\n\n\n\n<ul>\n<li><a href=\"https:\/\/neurotucson.com\/bio\/abraham-jacob\/\" data-type=\"bio\" data-id=\"645\">Dr. Abraham Jacob<\/a>, Medical Director for Ear &amp; Hearing (E&amp;H) at the Center for Neurosciences (CNS), is fellowship trained in Otology, Neurotology, and Cranial Base Surgery. He is the first and most experienced Neurotologist in Southern Arizona.<\/li>\n\n\n\n<li>Dr. Jacob was a founding member of the University of Arizona (UA) Department of Otolaryngology prior to his departure and transition to CNS. At UA, he was Vice Chair of ENT and held the rank of full Professor with Tenure.<\/li>\n\n\n\n<li>Dr. Jacob transitioned his practice to the Center for Neurosciences in early 2017 as he felt that the new environment helped him to optimize delivery of personalized ear and lateral skull base care.<\/li>\n\n\n\n<li>Unlike most ENT physicians, Dr. Jacob\u2019s training in Otology\/Neurotology makes him the regional expert for complex surgical procedures such as semicircular canal plugging. He is able to offer this service to those patients that fail medical management with canalith-repositioning maneuvers.<\/li>\n\n\n\n<li>Our highly-skilled Doctors of\u00a0<a href=\"https:\/\/neurotucson.com\/ear-hearing\/audiology\/\">Audiology<\/a>,\u00a0<a href=\"https:\/\/neurotucson.com\/bio\/mary-rose-goldstein\/\">Mary Rose Goldstein, AuD, CCC-A<\/a>,\u00a0<a href=\"https:\/\/neurotucson.com\/bio\/alissa-knickerbocker\/\">Alissa Knickerbocker, AuD<\/a>\u00a0and\u00a0<a href=\"https:\/\/neurotucson.com\/bio\/margaret-fries-aud\/\">Margaret Fries, AuD<\/a>\u00a0strive to provide you with accurate information regarding your hearing status, promote understanding of your hearing and communication needs, increase your knowledge of evidence-based management and\/or treatment options, and introduce you to the hearing health tools that can maximize your quality of life reducing the negative impact of hearing disorders.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ear &amp; Hearing Appointments<\/h2>\n\n\n\n<p>Our Otologist\/Neurotologist specializes in the medical and surgical care of patients with disorders of the ear and lateral skull base. Otology\/Neurotology and Audiology work together to offer complete hearing health solutions.<\/p>\n\n\n\n<p><strong>To schedule an appointment with our Ear &amp; Hearing department, please call us at <a href=\"tel:+15207957750\">(520) 795-7750<\/a>.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Our Physicians\u2019 Goal<\/h2>\n\n\n\n<p>Our physicians\u2019 goal is to provide the highest-quality neurological care\u2013 the same level of care we would want for ourselves or our loved ones.<\/p>\n\n\n\n<p>We will help our patients to understand their condition, listen to their concerns, answer their questions, and provide the best clinical treatment available.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The term \u201cvertigo\u201d refers to the feeling that you or the outside world is spinning or tilting while in fact, you are not moving. Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of short-duration true vertigo. BPPV originates in the inner ear when tiny crystals called otoconia become dislodged and float&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":395,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"(520) 795-7750 | BBPV causes vertigo among other symptoms. It can be very disruptive, but can often be treated without surgery. Call for testing.","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/pages\/397"}],"collection":[{"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/comments?post=397"}],"version-history":[{"count":8,"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/pages\/397\/revisions"}],"predecessor-version":[{"id":3183,"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/pages\/397\/revisions\/3183"}],"up":[{"embeddable":true,"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/pages\/395"}],"wp:attachment":[{"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/media?parent=397"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/neurotucson.com\/wp-json\/wp\/v2\/service_tags?post=397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}