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Benign Positional Paroxysmal Vertigo


Step 1: View clinicals

A 75 year old lady presents with dizziness and vomiting, which commenced when she sat up in bed today. The symptoms subsided completely after a few minutes. She describes the dizziness as "feeling like the room is spinning around her". Her medical history is only significant for well controlled hypertension.

Step 2: Order all relevant investigations

Dix-Hallpike test

L/S: negative R/S: vertigo and downbeating nystagmus after a small latent period. Spontaneous resolution after around a minute.


Her hearing on both sides is normal


No abnormalities are noted.

MRI Brain

No abnormalities are noted in the MRI.

Step 3: Select appropriate management

Epley's manoeuvre

Score: ★★☆