In vertigo, people experience an illusion of movement of the environment about them, or of themselves with respect to the environment. Vertigo usually originates in the peripheral nervous system (e.g. due to a disorder of the inner ear) but can, rarely, have a CNS origin (e.g. an intracranial tumour or brainstem lesion). It is commonly due to a peripheral disorder known as ‘benign paroxysmal positional vertigo’ (BPPV).1 Here we discuss BPPV and the management of patients with the condition, including diagnostic and therapeutic manoeuvres.
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