BPPV: remedies against Benign Paroxysmal Positional Vertigo

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What is BPPV?

Benign Positional Paroxysmal Vertigo (BPPV) is the most common cause of peripheral vertigo and is caused by a mechanical labyrinthine disorder.

It is characterized by short and violent dizziness with rapid beginning and rapid remission (paroxysmal vertigo) and is related to changes in the position of the head compared to gravity (positional vertigo). Each crisis usually lasts from 15 to 60 seconds.
It usually has a favorable course and is therefore defined as "benign", however, there are very disabling variants due to the high rate of relapse and poor response to physical therapy.

BPPV can occur at any age, even in newborns. It has a peak incidence between 50 and 60 years of age, while it is rare in the pediatric age.

How do you fight BPPV?

Until today the only possible therapy was a series of maneuvers, also called "liberating maneuvers", which give immediate relief to the patient but that do not always solve the problem definitively, while no supplement treatment existed.

In recent literature, a correlation between low vitamin D levels, oxidative stress and BPPV occurrence/recurrence has been suggested. An integration of vitamin D and components with antioxidant activity could represent a valid support for the control of relapses.