Vertigo is a common phenomenon seen in patients with and without hearing loss. It is described as the perceived movement or spinning sensation of one’s surroundings without actual physical movement. Research indicates that over 20 percent of patients with hearing loss have had an incidence of vertigo in their life (1). Vertigo can be present as a symptom in both peripheral (inner ear) or central (nervous system) related pathology. Benign paroxysmal positional vertigo (BPPV) is seen in 44 percent of patients and is the most common occurrence and most successfully treated inner ear dysfunction. Other conditions affecting the vestibular system include vertebrobasilar insufficiency, meniere’s disease and sudden sensorineural hearing loss (1). The focus of the discussion will be on BPPV as it is the most common clinical presentation of vertigo.
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