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Benign Paroxysmal Positional Vertigo (BPPV) – An Overview

How to Diagnose Benign Paroxysmal Positional Vertigo?

Your healthcare provider may diagnose BPPV by performing a maneuver known as the Dix-Hallpike test. This test usually involves holding your head in a certain position while lying down rapidly with your back on a table. Your doctor will search for abnormal eye movements during this test and may ask you if you are experiencing any spinning sensation.

In some cases, your doctor may also recommend a general physical exam. Your doctor will require a complete medical history and a neurological exam to be sure you don’t have other diseases or disorders.

Your doctor may recommend other tests such as:

  • A magnetic resonance angiography (MRA) of the head, which is similar to an MRI
  • An electronystagmography (ENG) to evaluate eye movement
  • Caloric stimulation, which involves warming and cooling the inner ear with water or air to observe eye movements
  • A CT scan of the head
  • A hearing evaluation
  • An electroencephalogram (EEG) to measure brain activity
  • An MRI of the head