Benign paroxysmal positional vertigo (BPPV) is the most common cause of patient-reported vertigo. The accurate diagnosis of BPPV requires high-quality physician training and knowledge of the advantages and disadvantages of different diagnostic methods....
✦ The floor
Discussion
Signed responses from readers of the wire.
Clinicians should verify their BPPV diagnostic methods against those reviewed; the paper may highlight gaps in training requirements but introduces no new test or guideline — review existing protocols before changing practice.
BPPV is the most prevalent vestibular disorder, and diagnostic inconsistency leads to delayed treatment and unnecessary imaging; a consolidated methods review supports standardisation across practice settings.
- 01BPPV is identified as the most common cause of patient-reported vertigo.
- 02Review covers multiple diagnostic approaches: clinical, instrumental, and positional testing methods.
- 03Training requirements for each method are discussed, highlighting variability in clinician preparation.
- 04No new data generated; strength depends on quality of underlying studies reviewed.
- 05Relevant for audiologists and vestibular specialists expanding or auditing their diagnostic toolkit.
BPPV is the most common cause of patient-reported vertigo.
guidelinesupportedDifferent diagnostic methods for BPPV require varying levels of training.
studypartially supported- PMID
- 42776779
- DOI
- 10.3390/audiolres16050137.
- Journal
- Audiology Research
- Publication type
- review
- Evidence level
- 2a
- Population
- Patients with BPPV (benign paroxysmal positional vertigo) across reviewed studies
- Intervention
- Various BPPV diagnostic methods (clinical and instrumental)
- Comparator
- Comparison across different diagnostic methods
Primary outcomes
Diagnostic accuracy and characteristics of different BPPV assessment methods; Training requirements for each diagnostic approach