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Brain Injury Law Group, S.C.

Attorney Gordon S. Johnson, Jr.

212 Whitetail Run Ln.
Sheboygan, WI



BPPV - Benign Paroxysmal Positional Vertigo

By Attorney Gordon Johnson

Call me at 800-992-9447


Benign Positional Vertigo (BPV)- also called Benign Paroxysmal Positional Vertigo (BPPV) is perhaps the most common cause of vertigo, although it is actually a syndrome and not a disease. BPV is a vertigo which is often induced while a patient turns over in bed, or gets in and out of bed. Such change in positioning moves clots or debris inside the posterior semicircular canal, setting off the vertigo. It is most often caused either by trauma or viral infection.

While it is a benign disorder, which often remits spontaneously, it presents with such severe symptomatology, that patients often think something far more serious is involved. It is known to awaken individuals from sleep. Further, it is often accompanied by severe nausea and vomiting, which may be worse than the vertigo.

Dix Halpike Maneuver Can Diagnose and Cure Vertigo

BPPV can often be diagnosed by the use of the Dix Halpike Maneuver. BPV is often cured, just after it is diagnosed, by another maneuver performed by the treating doctor, to liberate these clots from the posterior semicircular canal. Success on these maneuvers has been found to be between 70 and 90%. While 10-20% of those with success on these maneuvers have a recurrence within a short time, a repetition of the maneuvers often relieves these episodes.

When caused by trauma, BPV typically appears within 3 days of the head injury. When caused by viral infections, it can arise within one week or even years after the viral infection.

While it will remit spontaneously, it often reappears, with about 50% of patients having at least one future bout of PBV, with some individuals having problems for years after the initial event.

In BPV the positional vertigo is "fatigable", meaning that it decreases with repetition of the maneuvers. When the symptoms of positional nystagmus, do not fatigue, then it is likely the cause is more serious, and may be attributable to central vestibular lesions.


Contact Attorney Gordon Johnson: 1-800-992-9447

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Brain Injury Law Group

Call Attorney Gordon Johnson — 800-992-9447

The Brain Injury Law Group is involved with a network of plaintiff's trial attorneys across the United States united by a common interest in serving the rights of persons with brain damage and neurological damage related disability. We share a common commitment to fully understanding the anatomic, medical and psychological aspects of cerebral palsy and other brain damage and neurological damage related disability. This network of lawyers are not part of a national law firm. We have separate law practices and are licensed to practice only in our home states.

The Brain Injury Law Group is here to listen and for that reason we maintain an 800 number and a staff willing to discuss your case and legal information where appropriate. There is no charge to call. We only represent people on a contingent fee basis and charge a fee only when we recover for the client. For more on Attorney Gordon Johnson, click here.