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Statistics show that the older a person is, the greater the likelihood of developing BPPV. Women experience the disease 1.5 times more often than men. Benign paroxysmal positional vertigo has some distinctive features that help distinguish the disease from migraine aura or dizziness due to osteochondrosis in the cervical spine. Positional vertigo occurs spontaneously, in attacks. The head suddenly begins to feel dizzy and all the symptoms of the pathology disappear just as quickly.

BPPV is often combined with autonomic disorders. pale skin, fever, attacks of nausea, and severe sweating appear. The disease has a short-term course, usually the duration of the attack does not exceed several hours. After an attack of BPPV, the body quickly restores its strength, so treatment of the disease does not take much time (the course does not exceed 30 days). In the interval between attacks, the patient feels excellent. With pathological changes in the structure of the inner ear, paroxysmal vertigo occurs in the peripheral vestibular apparatus. In many cases, the causes of the disease are not determined. The main causes of BPPV are believed to be old age, traumatic brain injury, orthotoxic exposure to antibiotics, a viral infection in the inner ear, or surgery on the semicircular canal of the inner ear.

Benign positional vertigo is more common in older people, since the otoliths in the inner ear are subject to age-related changes during the natural aging process of the body. The age-related causes of its occurrence are still not fully understood.
The patient often complains of attacks of spontaneous weakness and the feeling that objects began to spin around. The senses become especially acute when the patient changes the position of the torso or head.
In this case, an attack of nausea or vomiting may occur. Mostly, symptoms of BPPV occur in the morning or at night, when the patient tosses and turns or gets out of bed. During wakefulness, when a person is sitting or standing, symptoms may worsen.
A particularly severe attack lasts no longer than 2 minutes. If the patient returns to a lying position and does not move, the dizziness goes away within a few seconds.

Another hallmark of BPPV is the occurrence of positional nystagmus at the time of severe dizziness (involuntary high-frequency oscillatory twitching of the eyes). Although the inner ear is affected, the disease has no other neurological signs. There are no problems with hearing. Brandt-Daroff method. The patient mostly does exercises using this method independently. Most often it is performed by the patient independently. Exercises must be performed several timesper day - up to four sessions. The patient should stand up smoothly in the morning with his legs down.

Then slowly lie down on your left or right side and raise your head 45В� for a few seconds. When the attack of dizziness stops, the patient can get up and continue the exercises in a standing position. After 5 bends to the right and left, you need to rest.

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The duration of training depends on the individual. Treatment must be prescribed by a doctor. If there have been no attacks of the disease for several days, then treatment using the Brandt-Daroff method can be gradually completed. Epley technique used for violation of the posterior semicircular canal. Usually performed under medical supervision. The patient should sit on the bed. His head is turned 45В� to one side or the other.