Addressing the Overlapping Challenges of Benign Paroxysmal Positional Vertigo (BPPV) and Persistent Postural-Perceptual Dizziness (PPPD): Impacts and Integrated Management

Jorge Madrigal; Francisco Zuma E Maia; Renato Cal; Bernardo Faria Ramos; Melissa Castillo-Bustamante

doi:10.7759/cureus.72019

Addressing the Overlapping Challenges of Benign Paroxysmal Positional Vertigo (BPPV) and Persistent Postural-Perceptual Dizziness (PPPD): Impacts and Integrated Management

Cureus. 2024 Oct 21;16(10):e72019. doi: 10.7759/cureus.72019. eCollection 2024 Oct.

Authors

Jorge Madrigal¹, Francisco Zuma E Maia², Renato Cal³, Bernardo Faria Ramos⁴, Melissa Castillo-Bustamante^{5

6}

Affiliations

¹ Otoneurology, Centro de Vértigo y Mareo, Mexico City, MEX.
² Otolaryngology, Clínica Maia, Canoas, BRA.
³ Otolaryngology, Para University Center (CESUPA), Belém, BRA.
⁴ Otolaryngology, Federal University of Espirito Santo, Vitoria, BRA.
⁵ School of Medicine, Health Sciences School, Universidad Pontificia Bolivariana, Medellin, COL.
⁶ Otolaryngology, Clinica Universitaria Bolivariana, Medellin, COL.

Abstract

Benign paroxysmal positional vertigo (BPPV) and persistent postural-perceptual dizziness (PPPD) are challenging vestibular disorders with overlapping symptoms that complicate diagnosis and treatment. BPPV causes transient vertigo with head movements, while PPPD involves persistent dizziness and unsteadiness. Both significantly impact the quality of life, including emotional well-being. This review examines the relationship between BPPV and PPPD, stressing the need for comprehensive, multidisciplinary management. Effective treatment must address both physical and psychological aspects, using personalized care, technological innovations, and patient education to improve outcomes and enhance the quality of life for those affected.

Keywords: benign paroxysmal positional vertigo; persistent postural perceptual dizziness; quality of life (qol); vestibular and balance rehabilitation; vestibular disorders.

Publication types

Review