What are the risk factors for benign paroxysmal positional vertigo (BPPV)?

Updated: Feb 15, 2018
  • Author: John C Li, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

A few factors predispose patients to BPPV. These include inactivity, acute alcoholism, major surgery, and central nervous system (CNS) disease. A complete neurotologic examination is important because many patients have concomitant ear pathology, as follows:

  • Idiopathic pathology - 39%

  • Trauma - 21%

  • Ear diseases - 29%

  • Otitis media - 9%

  • Vestibular neuritis - 7%

  • Ménière disease - 7%

  • Otosclerosis - 4%

  • Sudden sensorineural hearing loss - 2%

  • CNS disease - 11%

  • Vertebral basilar insufficiency - 9%

  • Acoustic neuroma - 2%

  • Cervical vertigo - 2%


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