Episodes are triggered by changes in the position of the head e.g. The symptoms usually start suddenly and often when waking from sleep. With these conditions there are other symptoms present as well and they are normally picked up in the chiropractic and neurological examination.īPPV is a common condition that frequently goes undiagnosed and is treated symptomatically with drugs, such as Stemetil and Compazine (prochlorperazine), a sedative, which can make you feel very tired (if you take this drug you should not operate machinery or drive), and it can have many other side-effects. There are other, more serious, causes of vertigo such as stroke, tumors, and neurological diseases such as MS. Other common causes include acute vestibular neuronitis or labyrinthitis. Generally, about 20% of all cases of dizziness are due to BPPV and about 50% of all dizziness in older patients is due to BPPV. In older patients, the most common cause is degeneration of the vestibular system of the inner ear and BPPV becomes much more common with advancing age. The most common cause in the under 50s is head trauma and whiplash.
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