Question

A patient complains of lightheadedness, nausea, and spinning vertigo while lying in bed, turning in bed, and bending over to pick objects from the floor. He also feels off balance while walking. He is most likely to have:

• A. Vestibular Neuritis
• B. Meniere's Disease
• C. Migraine
• D. Benign Paroxysmal Positional Vertigo
• E.

Hint:

Benign Paroxysmal Positional Vertigo can be treated with repositioning maneuvers like the Epley maneuver to reposition the displaced otoconia.

Answer 1

The Correct Option is D

Step 1: Understanding the condition.
Benign Paroxysmal Positional Vertigo (BPPV) is characterized by brief episodes of vertigo triggered by specific head movements, such as turning in bed or bending over. It is caused by dislodged otoconia (calcium crystals) in the inner ear.
Step 2: Analyzing the options.
- (1) Vestibular Neuritis: Incorrect. Vestibular neuritis typically presents with acute, persistent vertigo, but it does not involve position-dependent symptoms.
- (2) Meniere's Disease: Incorrect. Meniere's disease involves episodes of vertigo, hearing loss, and tinnitus, but it does not typically present with positional vertigo.
- (3) Migraine: Incorrect. While migraines can be associated with dizziness, they usually do not cause the specific positional vertigo symptoms described.
- (4) Benign Paroxysmal Positional Vertigo: Correct. BPPV is the most likely cause of the patient's symptoms, as it is triggered by specific movements of the head.
Step 3: Conclusion.
The correct answer is (4), as BPPV is the condition that causes vertigo triggered by changes in head position, such as the activities described.