Benign Paroxysmal Positional Vertigo

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About this Research Topic

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Background

Though Benign Paroxysmal Positional Vertigo (BPPV) is amongst the commonest causes of vertigo and dizziness, there are many confounding findings which make decision making in diagnosis of BPPV and its sub-types difficult. Undiagnosed and inadequately treated BPPV can lead to debilitating symptoms, an increased risk of fall and, ultimately, result in functional dizziness.



This research topic aims to make understanding of BPPV as a common and easily treatable cause of dizziness to the primary healthcare givers. Varying presentations of vertigo and dizziness along with recurrence and residual dizziness in BPPV are common clinical findings which need further study. Other underlying neuro-otological disorders could contribute to inadequate relief in dizziness after resolution of BPPV. The research topic also focuses on how identification and classification of the nystagmus in BPPV can provide more information about the underlying mechanics and variables in pathophysiology.



Topics of interest include:



- Basic science studies in BPPV: Studies on normal development and growth of otoconia: formation and anchoring, abnormal grow and dislocation of otoconia, etiology of BPPV /ageing / genetic mutation/ head trauma/ drugs, studies on location and attachment of debris in the canal; adherence and what happens to the repositioned debris in the utricle

- Studies on mechanical factors of how to reposition debris: gravity, inertia, velocity, angulation, vibration etc

- Diagnostic tests for BPPV and how the tests can influence debris in different canals

- Study of nystagmus patterns in different BPPV sub-types

- Taking BPPV diagnosis and treatment to primary care and emergency departments

- Newer repositioning maneuvers

- Recurrence and residual symptoms in BPPV

- Correlation between neurotological disorders and BPPV

- Innovations in BPPV diagnosis and treatment

- Role of vestibular rehabilitation in BPPV

- Role of tele-medicine in BPPV

Keywords: BPPV, otoconia, maneuvers, cupulolithiasis, utricle, residual dizziness, video-oculography, nystagmus, calcium metabolism

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