Benign paroxysmal vertigo
Alerts and Notices
Synopsis

BPV is usually idiopathic; however, it can occur secondary to other causes including head trauma. It is the most common cause of vertigo, with an annual incidence of between 10 and 60 per 100 000 people. BPV can occur at any age but is most common in the 50- to 70-year age group and is about twice as common in women than men.
Codes
ICD10CM:H81.10 – Benign paroxysmal vertigo, unspecified ear
SNOMEDCT:
111541001 – Benign paroxysmal positional vertigo
Look For
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Migraine headache
- Meniere disease
- Simple / complex partial seizure
- Vestibular schwannoma
- Brain tumor
- Neurofibromatosis
- Systemic lupus erythematosus
- Drug toxicity (aminoglycosides, cisplatin, others)
- Labyrinthine infarction
- Brain stem infarction
- Cerebellar infarction
- Vertebrobasilar insufficiency
- Labyrinthitis
- Vestibular neuritis
- Ramsay-Hunt syndrome
- Perilymph fistula
- Cholesteatoma
- Otosclerosis
- Post-traumatic vertigo
- Multiple sclerosis
- Arnold-Chiari malformation
- Concussion
- Syringobulbia
Best Tests
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Management Pearls
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Therapy
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References
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Last Reviewed:10/23/2018
Last Updated:10/30/2019
Last Updated:10/30/2019