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In other individuals, the disorder may only produce mild symptoms despite a rapid change of head position. This extreme sensitivity can cause near frequent sensations of tilting or dizziness. For some people, only a slight positional change of the head can cause symptoms. Factors that may affect the severity include the speed of head movement, the volume of calcium crystals that are moved and a person’s innate sensitivity to motion.
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The severity of the disorder can vary greatly from one person to another. Often, ordinary movements such as turning over on one’s side, lying down, looking up, stooping or bending over can cause an episode. The onset of an episode of BPPV is usually sudden following changes in head position. BPPV is one of the most common causes of vertigo. The term positional means the disorder is contingent on a change of the position of the head. The term paroxysmal means that episodes arise suddenly and often unpredictably. Although labeled benign, BPPV can disrupt a person’s daily activities and affect quality of life. The term benign means that the disorder is not progressive and is not considered serious. However, the maneuvers do not prevent the shedding of additional calcium crystals in the future.īPPV has been identified as a clinical entity since the late 1800s. The treatment maneuvers move the calcium particles back to the main vestibule, the chamber from which they originated. Recurrences are possible because additional calcium can become dislodged. The exact, underlying cause of this displacement is not always known (idiopathic).
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These tiny crystals originate from the gravity and acceleration sensing structures and become inappropriately located in one of three semicircular canals, which are tiny, interconnected, looped tubes that serve to detect movements of the head and play a role in helping the body maintain balance. BPPV is thought to be caused by the displacement of small calcium carbonate crystals within the inner ear. However, BPPV may recur even after being effectively treated. Most affected individuals can be easily and effectively treated by non-invasive methods such as canalith (or canalolith) repositioning maneuvers or procedures. BPPV may disappear but sometimes it persists recurrently for many months. In some people, it only causes mild symptoms, while in others it can potentially cause more severe, even debilitating symptoms. BPPV is most often triggered by changes in head position. During the vertigo spells, affected individuals often have abnormal eye movements as well (nystagmus). Individuals often feel as if the room is moving or spinning, and they can lose their balance and have difficulty standing or walking. Vertigo is a sensation of spinning, whirling or turning.