Benign positional vertigo - Peripheral vertigo

Low urgency
Common-
Vertigo is the sensation that everything around you is spinning or moving. It is considered a type of peripheral vertigo caused by an inner ear disorder. It is the most common type of vertigo. It is caused by lithiasis of the semicircular canals of the inner ear. Symptoms include a perception of spinning, loss of balance and nausea. This tends to occur with sudden movements of the head to look upwards or when rolling over in bed. The diagnosis is clinical and maneuvers are performed to reproduce the symptoms. The lithiasis can be dislodged using simple techniques. Without treatment, symptoms usually disappear within a few days or weeks.
Bibliographic references
  1. Joseph M Furman. Pathophysiology, etiology, and differential diagnosis of vertigo. UpToDate, Junio 2015
  2. Jason JS Barton. Benign paroxysmal positional vértigo. UpToDate. Enero 2016
  3. von Brevern M. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007; 78:710.
  4. Kim JS. Clinical practice. Benign paroxysmal positional vertigo. N Engl J Med 2014; 370:1138.
  5. Mark F. Walke. Mareo y vértigo. Harrison. Principios de Medicina Interna, 19e. Capítulo 28
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Spinning sensation


    Spinning sensation worsens with movement


    Dizziness with quick posture changes


    Involuntary, repeated eye movement


    Vertigo when turning in bed

Symptoms to watch out for

Reduction in the level of consciousness
Fever (temperature higher than 100.4 ºF)
Double vision
Hearing loss
Difficulty talking
Loss of sensibility and/or motility in limbs

Self-care

Avoid changing position quickly.
Sit down immediately when you feel dizzy.
Use good lighting at home.
Consult your primary care physician for canalicular repositioning maneuvers.
Use antiemetics if vomiting occurs.