Insights on Managing BPPV as a Recurrent Episodic Vestibular Disorder

A recent study by Evans et al reviewed the results of an open access pathway that offered priority appointments to patients with a history of positional vertigo.

Key points include:

• Allowing open access for follow-up improved diagnostic rates by nearly 40%, helping to confirm cases that were previously unverified.

• BPPV recurrence was observed in 34% of patients after one year, 41% after one to two years, and 53% after more than two years!

• One in five recurrences affected a different semi-circular canal, highlighting the need for a comprehensive reassessment with each episode.

These findings make a strong case for trained vestibular therapist/specialist follow-up in managing recurrent BPPV, ensuring patients receive timely, accurate care.

Read the open access article

https://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/management-of-recurrent-benign-paroxysmal-positional-vertigo/A62952AD1BDB4D1FD3D6611DD2B09F48