Kerala Journal of
Physical Medicine and Rehabilitation
Official Journal of the Kerala Chapter of Indian Association of Physical Medicine and Rehabilitation
Volume 25 | Issue 2 | June 2026
Guest Speciality Article
Approach to Benign Paroxysmal Positional Vertigo
Sherin Sha S
GTDMC, Alappuzha
Dr Sherin Sha S MBBS, MS ENT,
International Vestibular Rehabilitation Certificate( The American Institute of Balance), AMVD( Assessment and Management of Vestibular Diseases)-Yenepoya University,
Assistant professor of ENT, GTDMC, Alappuzha.
Email: sherinshas@gmail.com
Sherin Sha S. Approach to Benign Paroxysmal Positional Vertigo. KJPMR. 2026;25(2):29-31.
BPPV is the commonest presenting cause of vertigo with an estimated lifetime prevalence of 2.4%. It has a characteristic history and can easily be diagnosed on examination. Treatment can be performed in the clinic with a good outcome, making it the most rewarding vestibular condition to manage.
The first clinical description of positional vertigo is attributed to Barany in 1921 and in 1952 Dix and Hallpike were the first to clearly describe the provoking manoeuvres. Dix and Hallpike coined the term ‘benign paroxysmal positional vertigo’ in view of the associated benign (non-cancerous) origin and momentary (paroxysmal) bursts of intense vertigo upon head movements (positional).