Consilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum9508110.26442/2075-1753_2018.9.47-50Research ArticleBenign paroxysmal positional vertigo: modern approach to clinical presentation, diagnostics and treatmentZaytsevaO. Vo.v.zaytseva@yandex.ruResearch and Clinical Center of Otorhinolaryngology of FMBA of Russia15092018209475028122021Copyright © 2018, Consilium Medicum2018Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder characterized by spontaneous remissions several days or weeks after the onset of the disease and frequent relapses. In BPPV, dizziness of a systemic nature (vestibular or true) occurs when the position of the head changes (turning in the bed, tipping the head backwards or tilting forward) and lasts, as a rule, no more than 1 min. Daily vestibular attacks of BPPV can last from several days to several years. The main cause of development of BPPV is otolithiasis. Diagnosis of BPPV is determined by the results of positional tests. Treatment in the form of specific exercises (maneuvers) rarely requires prolonged drug support. With poor tolerance of maneuvers (bright vestibular-vegetative symptoms in the form of rotational vertigo with nausea and vomiting), it is justified to use vestibular suppressants.benign paroxysmal positional vertigoдоброкачественное пароксизмальное позиционное головокружение[Von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: A population based study. J Neurol Neursurg Psychiatry 2007; 78: 710-5.][Imai T, Ito M, Takeda N et al. Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo. Neurology 2005; 64 (5): 920-1.][Nunez R.A, Cass S.P, Furman J.M. Short and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngology Head Neck Surg 2000; 122: 647-52.][Halmagyi G.M. 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