How to deal with benign paroxysmal vertigo

The article was professionally consulted by a neurosurgeon, Department of General Surgery, Vinmec Central Park International General Hospital.

Benign paroxysmal vertigo is a false sensation of space-to-body movement or body-to-space movement. The patient will feel dizzy with everything around him, this condition will increase when turning the head or changing position, in some cases, dizziness accompanied by nausea or vomiting, heart palpitations, nervousness, fear scared, sweaty.

Benign paroxysmal vertigo refers to the days when vertigo flares up, this is the most common cause, causing a spinning sensation inside the head or surroundings. Benign paroxysmal vertigo is triggered by patient-specific changes such as turning the head, bowing, standing, or sitting down.
Although not dangerous, but benign paroxysmal vertigo causes many discomforts for patients, increasing the risk of falls.

When having episodes of benign paroxysmal vertigo, the patient will have symptoms such as:
Feeling dizzy Feeling everything around you wobble, move even though you stand still, Dizziness Standing, sitting unsteadily Loss balance when standing Blurred vision associated with feeling dizzy Nausea, vomiting. Usually, the symptoms of benign paroxysmal vertigo, such as dizziness, nausea, and fatigue, come and go very quickly (just over 1 minute). Episodes of benign paroxysmal vertigo also occur only on the days of the onset of the disease, it may go away for a time and recur later.

In fact, about half of patients cannot find a specific cause of benign paroxysmal positional vertigo. Once postural is identified, benign paroxysmal postural vertigo is often associated with severe juvenile head trauma.
Less common causes of benign paroxysmal vertigo include damage to the inner ear or during prolonged spinal positioning.
People over 60 years old also often experience benign paroxysmal vertigo, in addition, this disease can occur at any age. In particular, head trauma or other bodily disorders can also predispose patients to benign paroxysmal vertigo.

To help relieve benign paroxysmal vertigo, physiotherapists or audiologists may perform a vestibular rehabilitation procedure.
3.1 Vestibular Rehabilitation Method Vestibular rehabilitation is performed in the doctor's office, consisting of a simple slow change of head position with the aim of moving particles from the fluid contained in the semicircular canal of the inner ear to the open sac area in one of the cochlea where the particles cause no trouble and are reabsorbed more easily. This method is usually effective after 1 or 2 treatments.
3.2 Surgical method Surgical treatment of benign paroxysmal vertigo is indicated when vestibular rehabilitation is not effective. A surgery in which a bony plug is used to block the parts of the inner ear that cause vertigo. This cushion will help prevent particles from the semicircular canal from moving into the ear in response to general head movement.
In addition, if you often have benign paroxysmal dizziness, then immediately sit down, use light at night, walk should carry a cane to keep balance and avoid the risk of falling. Benign paroxysmal vertigo may recur even with successful treatment. However, the disease can be controlled with physical therapy and home treatments.
Benign postural paroxysmal vertigo is a common disease in the community. Information about the disease, how to respond and prevent it is essential to overcome these unpleasant symptoms and enjoy life confidently.
Department of Examination and Internal Medicine at Vinmec International General Hospital holds specialized functions in the examination and treatment of diseases related to the central nervous system (cranial, meninges, brain, cerebrovascular, etc.) nerves in the skull, pituitary gland, spine, discs, spinal cord) and peripheral nervous system (nerves and ganglia outside the brain and spinal cord).