aetiology

Last reviewed 07/2023

The aetiology of most cases of BPPV is unknown (idiopathic).

Secondary causes of BPPV can be due to various disorders which damage the inner ear

  • head trauma
  • mastoid surgery
  • vestibular neuritis
  • labyrinthitis
  • Meniere's disease

In contrast to idiopathic BPPV, the traumatic form displays several distinctive characteristics

  • higher incidence of bilaterality
  • several canals on the same side can be affected
  • seen equally among women and men
  • more difficult to treat
  • recurrence of the disease occurs frequently

In addition, the incidence of BPPV has shown to be higher in patients with migraine. BPPV is also reported to occur with giant-cell arteritis, diabetes, and hyperuricaemia (1).

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