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Benign Paroxysmal Positional Vertigo

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Modifications for the Elderly<br />

Possible in most<br />

Ensure no contraindications<br />

<br />

eg carotid sinus syncope, VBI, severe neck problems<br />

Ensure patient safety and use 2 clinicians<br />

<br />

<br />

<br />

Dix Hallpike-do testing slowly (to avoid postural<br />

hypotension)<br />

Modified supported DH with patients head flat on<br />

couch (Angeli et al RCT > 70 years)<br />

Sidelying test

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