Benign paroxysmal positional vertigo
Diagnosis
-first decide which ear affected- do Dix Hallpike test w head rotated to R and neck hyperextended and head hanging off bed- if get R sided nystagmus then R ear affected
- once decide which ear affected- do bedside manuever on that ear
Treatment
L Ear Affected
- place pt recumbant w head turned to left, head hanging off of bed and chin pointing up and wait for sxs to stop
- then rotate head and body until R ear down
- then rotate further until face down
- vertex of head kept down throughout rotation
- keep face down for 15 sec
- bring pt back to seated position with head turned to R
- now keep chin down