Causes, symptoms and treatment of benign positional vertigo

Benign paroxysmal positional vertigo( DPPH) is a fairly common pathology. It is characterized by sharp attacks of dizziness, which lasts less than a minute. Usually, this condition is associated with a change in the position of the head and is much more common in women.

Reasons for positional vertigo

It is believed that the precipitation of calcium salts in the inner ear channel leads to the development of this disease. These salts are called statoliths. They break away from the otolith membrane and move during the turns or inclinations of the head, which causes a sense of rotation. This is what a person perceives as a dizziness.

RVPG causes dizziness when turning the head, its usual tilt forward or backward. RPAg also can cause dizziness in case of sudden rising. Most often, a seizure suddenly occurs after a dream or during a night rest.

For more information about the causes of dizziness occurring in different patient categories( in the elderly, children and women), you can find out if you read this article on our website.

Often positional dizziness manifests itself in cervical osteochondrosis. For more information about this disease and its symptoms, you can read this link: http: //gidmed.com/ bolezni-nevrologii /golovokruzhenie/ golovokruzhenie-pri-osteohondroze.html

Approximately half of the cases can not be reliably diagnosed, and therefore there is an idiopathic version of the pathology. In other situations, the causes of development of benign positional vertigo can be:

1. traumatic skull injuries;
2. incorrectly performed surgical intervention;
3. Ménière's disease;
4. action of some antibacterial drugs - for example, gentamicin;
5. labyrinthite is an infectious inflammatory process in canals;
6. regular migraines, which are caused by the dystonia and spasms of the artery that lies in the labyrinth.

Symptoms of

Symptoms of benign positional dizziness are manifested in the following forms:

1. Severe attacks of dizziness develop in a particular position or during certain movements. Often, seizures appear when bending or bending the neck.
2. The duration of the attack is about 30 seconds, but many patients tend to exaggerate this period.
3. People with this disease accurately determine the painful ear, noticing on which side they have an attack
4. Often patients notice the appearance of nausea during an attack.
5. Vertigo may be single, but sometimes it is observed regularly - from several cases a week to several attacks a day.
6. If the patient does not commit provocative movements, manifestations are absent.

Treatment of

The tactic of treating positional dizziness is the administration of drugs that help improve the patient's condition. Therefore, often used to eliminate nausea, dizziness, emotional stress. Also, drugs that promote blood circulation in the brain can be used.

If dizziness is high intensity, the patient is shown bed rest. Recently, for the treatment of paroxysmal benign positional vertigo, exercises are actively used that help prevent or control seizures. In especially severe cases, surgical methods of treatment are used.

It should be noted that not always dizziness is a symptom of any disease. Suppose, the cause of dizziness during pregnancy can be an ordinary toxicosis.

In order to better understand the nature of this disease, we advise you to read this article. There is detailed information about the symptoms and manifestations of dizziness in people of different age categories and sex.

Exercises and gymnastics

Regular gymnastics helps to gradually dissolve calcium salts in a special semicircular canal and reduce manifestations of pathology without the use of medications. The most effective exercises are the following:

• The Brandt-Daroff method. This exercise man can quite do himself. Sit at the center of the bed, lowering his legs down. Then lie on any side, head up 45 ° and stay in this position for 30 seconds. Return to the original position for half a minute. Quickly lie on the second side and turn your head upwards by 45 °.After half a minute again, take a sitting position.

  For one session you need to make 5 inclines in both directions. This exercise should be done three times a day. If there are no seizures within three days, the gymnastics can not be performed. The effectiveness of this method of treatment is approximately 60%. Other exercises should be done under the supervision of the attending physician. Their effectiveness is up to 95%.

  But sometimes doing such gymnastics can cause severe dizziness, which is accompanied by nausea and vomiting.

  Because people suffering from cardiovascular disease, before the start of the exercise prescribe beta-histidine.

• Maneuver of Epley. Sit along the couch and turn your head 45 ° in the direction where dizziness is observed. The doctor needs to fix it in this position. A man should be put on his back, and his head should be thrown back by 45 °.Expand it in the opposite direction. Lay the person on his side, unfolding the healthy part of the head. Then sit down, tilt your head and turn it towards dizziness. Return to normal position. Usually 2 to 4 repetitions are done to stop the attack.

This video will teach you how to conduct an Apli gymnastics yourself:

• The maneuver of the Demont. Sit down, legs drop down. Turn the head 45 ° in a healthy direction. Lock it with your hands and lie on the side of the pathology. Stay in this position until the cessation of the attack completely. Then the doctor puts the person on the second side, and the head remains in the same position. The person is in this position until the seizure stops, then sits down. If necessary, the maneuver can be done again.
• The maneuver of Lempert. Sit along the couch and turn your head 45 ° to the sore side. The doctor keeps the patient's head for the entire session. Lay the man on his back, turning his head in the opposite direction. Then it is deployed in a healthy direction.

  You also need to rotate the patient's body and put it on your stomach. Turn your head down with your nose down. Change the position of the trunk accompanied by turns of the head. Put the patient on the other side, and turn the head downward with the sore side. Plant a person through a healthy side.

With timely treatment, this disease usually does not pose a particular health hazard. Therefore, when the first symptoms of the pathology appear, you need to see a doctor. The specialist will prescribe medications and select a set of exercises to stop the manifestation of pathology.