Benign paroxysmal positional vertigo: Diagnostic criteria: Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society
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This article presents operational diagnostic criteria for benign paroxysmal positional vertigo (BPPV), formulated by the Committee for Classification of Vestibular Disorders of the Bárány Society. The classification reflects current knowledge of clinical aspects and pathomechanisms of BPPV and includes both established and emerging syndromes of BPPV. It is anticipated that growing understanding of the disease will lead to further development of this classification.
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Episodic disorders add distinctive vestibular symptoms to the background of PPPD.
“Episodic disorders add distinctive vestibular symptoms to the background of PPPD [58], such acute attacks of vertigo plus cephalalgia, photophobia and phonophobia, with or without visual aura for vestibular migraine [49], short-lived positional vertigo for BPPV [87], or attacks of vertigo, tinnitus, and fluctuating hearing for Menière’s disease [51].”
PPPD may be preceded by episodic vestibular disorders such as vestibular migraine, Menière's disease, and BPPV that cause distinct bouts of vestibular symptoms.
“PPPD may be preceded by episodic vestibular disorders such as vestibular migraine [49], Menière’s disease [51], and BPPV [87] that cause distinct bouts of vestibular symptoms in contrast to the persistent, waxing and waning dizziness, unsteadiness and non-spinning vertigo that are hallmarks of PPPD.”
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Staab, J. P., Eckhardt-Henn, A., Horii, A., Jacob, R., Strupp, M., Brandt, T., & Bronstein, A. (2017) · Journal of Vestibular Research · doi:10.3233/ves-170622 · Cited by 840 · see citing works
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“The ICVD has already published a consensus on the definitions of vestibular symptoms [1], vestibular migraine [2], Menière’s disease [3], benign paroxysmal positional vertigo [4] and vestibular paroxysmia [5].”
BackgroundArbel, Y., Gimmon, Y., & Shmueli, L. (2025) · Physical Therapy · doi:10.1093/ptj/pzaf010 · Cited by 21 · see citing works
- Authors
- von Brevern, M., Bertholon, P., Brandt, T., Fife, T., Imai, T., Nuti, D., & Newman-Toker, D.
- Affiliations
- Department of Neurology, Park-Klinik Weissensee, Berlin, Germany
- Centre Hospitalier Universitaire de Saint-Étienne (FR)
- Ludwig-Maximilians-Universität München (DE)
- Barrow Neurological Institute (US)
- The University of Osaka (JP)
- University of Siena (IT)
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MA, USA
- Venue
- Journal of Vestibular Research
- Publisher
- SAGE Publications
- Published
- 2015-10-15
- Volume
- 25
- Issue
- 3,4
- Pages
- 105-117
- ISSN
- 0957-4271 (ISSN-L)
- 1878-6464
- OpenAlex
- W2257747823
- Cited by
- 795
- References
- 83
- Citations by year
- 2026: 88 · 2025: 96 · 2024: 92 · 2023: 101 · 2022: 90 · 2021: 91 · 2020: 86 · 2019: 67 · 2018: 40 · 2017: 33 · 2016: 7 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Vestibular Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Neurotology Society
- Topics
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Surgery › Nausea and vomiting management
- Keywords
- benign paroxysmal positional vertigo, diagnostic criteria, vestibular disorders, pathogenesis
- MeSH terms
- Diagnosis, Differential, Humans, Otologic Surgical Procedures, Vestibular Diseases, Benign Paroxysmal Positional Vertigo
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