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This guidance covers benign paroxysmal positional vertigo (BPPV): recurrent severe rotational vertigo provoked by positional changes, not associated with hearing loss, tinnitus or headache. Each episode of vertigo lasts less than 30 seconds.
Other pathologies causing vertigo.
Immediate, single plane or non fatiguing nystagmus in response to Hallpike indicates possible central pathology. Refer to ENT.
Note - Patients may not be fit to drive themselves home after an Epley manoeuvre
e-Referral Service Selection