A middle aged gentleman with a pmh of TB of who presented with episodic dizziness that occurred with movement – ultimately diagnosed with BPPV.
Distinguishing peripheral vs. central causes of Vertigo
**Central vertigo is generally much milder and more constant
**Vertibobasilar insufficiency is one of the central causes of vertigo that can cause intermittent vertigo often occurring with neck extension
**If you want a great dot phrase for BPPV for your clinic patients – check out Dr. Lawrence’s smartphrases – .pivertigoselfepley
**Check out “Video 2” on the following link which demonstrates the Epley maneuver