Benign Paroxysmal Positional Vertigo (BPPV) — Practice
A 19-year-old woman has recurrent attacks of brief positional vertigo lasting seconds, provoked by turning in bed. Dix-Hallpike testing on the right elicits up-beating torsional nystagmus with latency and fatigability. What is the most appropriate first-line treatment?
AIntratympanic gentamicin
BEpley canalith repositioning manoeuvre
CLong-term betahistine therapy
DVestibular nerve section