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Benign paroxysmal positionell vertigo (BPPV)

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Definition:
Benign paroxysmal positionell vertigo förkortas BPPV och är en perifer vestibulär rubbning.
Förekomst:
20 % av de som besväras av yrsel har BPPV. Högst incidens hos personer mellan 50–70 år.
Symtom:
Episodisk, kortvarig yrsel som utlöses av huvudrörelser. 
Kliniska fynd:
Provokationstester visar i regel nystagmus.
Diagnostik:
Diagnosen baseras på symtom och kliniska fynd. Ytterligare utredning är i regel inte indicerad.
Behandling:
Lugnande besked. Partikelreponeringsmanövrer såsom Epleys manöver och Semonts manöver har ofta god effekt. 
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  • Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas

Tidigare sakkunniga

  • Mikael Karlberg, docent och överläkare, ÖNH-kliniken, Skånes universitetssjukhus samt ÖNH-mottagningen, Trelleborgs lasarett