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BENIGN POSITIONAL VERTIGO (BPV)
BPV is probably the most common and easily treated form of vertigo. It is caused by debris which has collected within the posterior semi-circular canal of the inner ear. You can think of this debris as "ear rocks". Chemically, ear rocks are small crystals of calcium carbonate. They are derived from structures in the ear called "otoliths" that have been damaged by head injury, infection, or other disorders of the inner ear, or degenerated because of advanced age.
The most effective treatment for BPV is a procedure called the Epley Manoeuvre (also called the otolith repositioning procedure). The patient is quickly moved from one position to the other in a specific direction. This allows the crystals in the posterior canal to drain out into the vestibule which resolves the problem instantly. The procedure takes about 15 minutes. One treatment is usually required and is effective 80% of the time. Sometimes a second treatment is necessary.