Chapter

Hallpike Defines the Syndrome of Benign Paroxysmal Positional Vertigo

Robert W. Baloh

in Vertigo

Published on behalf of Oxford University Press

Published in print October 2016 | ISBN: 9780190600129
Published online November 2016 | e-ISBN: 9780190600150 | DOI: http://dx.doi.org/10.1093/med/9780190600129.003.0016
Hallpike Defines the Syndrome of Benign Paroxysmal Positional Vertigo

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In 1952, Charles Hallpike and Margaret Dix published a paper in which they described the clinical profile of three of the most common causes of vertigo—Ménière’s disease, vestibular neuronitis, and benign paroxysmal positional vertigo (BPPV). Their strategy was simple: First, identify the symptoms and natural history of the disease, then document the physical signs associated with the disease, and finally, when possible, correlate the clinical features with histological studies of the temporal bones. They provided the first clear clinical description and the first pathology associated with the syndrome of BPPV. They described the clinical features of a large number of cases they had seen in the Queen Square clinic. They concluded that positional nystagmus of the benign paroxysmal type, first described by Robert Bárány in 1921, was due, as Bárány believed, to otolith disease.

Chapter.  3126 words.  Illustrated.

Subjects: Neurology

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