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This guidance covers benign paroxysmal positional vertigo: 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 e.g. labyrinthitis (vestibular neuronitis).
Immediate, single plane or non fatiguing nystagmus in response to Hallpike indicates possible central pathology. Refer to ENT.
Epley manoeuvre – see supporting information section
Consider referral to ENT if:
Note- Patients may not be fit to drive themselves home after an Epley manoeuvre
e-Referral Service Selection
This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.
Publication date: March 2016