Vertigo in the ED Case 3

A 45-year-old woman attends the ED complaining of episodes of dizziness, especially when rolling in bed. She attends after a more severe attack, which has now settled, but she is worried it may happen again and that she may have a brain tumour.

Preliminary examination including hearing is normal. Her past history is unremarkable.

You suspect she has BPPV, and decide to perform a Dix-Hallpike test. Which of the following are characteristic features elicited in a positive test?

Select one or more options.

After performing the canalith repositioning manoeuvre, the patient asks what the risks are of this condition returning. After treatment, which of the following is likely to reflect the most accurate risk of recurrence in the next five years.