BPPV Testing – लेटते-उठते चक्कर की जांच
🎯 Bangalore Maneuver – Dr. Prateek Porwal का Innovation!
BPPV (Benign Paroxysmal Positional Vertigo) सबसे common vertigo cause। Dr. Prateek Porwal developed famous “Bangalore Maneuver” – highly effective treatment। 90%+ success rate। Same day relief। International recognition!
💫 “लेटते ही सब घूमने लगता है?” – BPPV Test करवाएं!
BPPV में specific positions (लेटना, उठना, करवट बदलना) से intense spinning vertigo होता है – 10-30 seconds। Cause: inner ear के semicircular canals में displaced calcium crystals (otoconia)। Dix-Hallpike Test confirm करता है – specific position में nystagmus (eye jerking) देखते हैं। Treatment: Canalith Repositioning Maneuvers (Epley, Bangalore Maneuver) – crystals को proper place पर move करते हैं। Usually 1-2 sessions में cure!
🏥 BPPV Expert Treatment – Prime ENT Hardoi!
BPPV Symptoms
- Intense Spinning (10-30 sec)
- Triggered by Position Change
- लेटते/उठते Vertigo
- Head Turn करते समय
- Looking Up/Down
- Nausea with Episodes
- Usually One Ear Affected
Diagnostic Tests
- Dix-Hallpike Maneuver
- Supine Roll Test
- Nystagmus Observation
- VNG (if available)
- Which Canal Detection
- Left vs Right Side
- Instant Diagnosis
Treatment (Same Day!)
- Bangalore Maneuver (Our Specialty)
- Epley Maneuver
- Semont Maneuver
- BBQ Roll (Horizontal Canal)
- 1-2 Sessions Usually
- 90%+ Success Rate
- Immediate Relief Possible
BPPV क्या है?
Benign Paroxysmal Positional Vertigo (BPPV) सबसे common vertigo cause है – overall vertigo cases का 20-30%। यह inner ear problem है जिसमें calcium carbonate crystals (otoconia) semicircular canals में displaced हो जाते हैं।
Normal Anatomy:
- Inner ear में 3 semicircular canals (posterior, horizontal, anterior) – rotational movements detect करते हैं
- Otoconia normally utricle में होते हैं (gravity sensors)
BPPV में क्या होता है:
- Otoconia loose होकर semicircular canal में चले जाते हैं (usually posterior canal – 85-95% cases)
- जब head position change → crystals move → fluid disturbance → brain को false signal कि head घूम रहा है
- Result: Intense spinning sensation!
Why Does It Happen?
- Idiopathic (50%): No clear reason
- Head trauma: Accident, fall
- Age-related: Degeneration of otoconia
- Inner ear infection: Labyrinthitis
- Prolonged bed rest: Hospitalization
- Meniere’s disease: Associated
BPPV Diagnostic Tests
1. Dix-Hallpike Maneuver (Most Important!):
Purpose: Posterior canal BPPV detect करना (सबसे common type)
Procedure:
- Patient examination table पर बैठते हैं
- Head को 45° एक side turn करते हैं
- Quickly लिटाया जाता है – head table के edge से नीचे लटका (neck extended)
- 30 seconds तक eyes observe – nystagmus?
- Slowly sitting position में वापस
- Repeat दूसरी side
Positive Test:
- Vertigo: Intense spinning sensation
- Nystagmus: Eyes rhythmically jerk (upward और rotatory direction)
- Latency: 2-5 seconds delay (crystal movement time)
- Duration: 10-30 seconds (self-limiting)
- Fatigability: Repeat करने से less intense
2. Supine Roll Test (Horizontal Canal BPPV):
- Patient lying down, head straight
- Quickly head को right side turn
- Observe nystagmus
- Return center, then left side
- Positive: Horizontal nystagmus
3. VNG with Positional Testing:
- Video goggles पहनकर
- Nystagmus को record और analyze
- More objective measurement
BPPV Treatment – Canalith Repositioning Maneuvers
Bangalore Maneuver (Dr. Prateek Porwal’s Innovation):
- Developed by Dr. Prateek Porwal specifically for posterior canal BPPV
- Unique sequence of head/body positions जो displaced crystals को utricle (proper place) में वापस ले जाती है
- Highly effective: 90-95% success rate
- Advantages:
- Patient comfortable (कम neck strain compared to Epley)
- Quick – 5-7 minutes
- Well-tolerated by elderly
- Lower nausea
- International recognition: Published in international journals, presented at conferences
- Many ENT specialists globally now use this technique
Epley Maneuver (Standard Treatment):
- Series of 4 positions – each 30 seconds hold
- Posterior canal BPPV
- 90% success rate
Semont Maneuver:
- Alternative to Epley
- More vigorous movements
BBQ Roll (Barbecue Roll):
- Horizontal canal BPPV
- 360° rotation in steps
Treatment Session:
- Duration: 10-15 minutes
- Success: 80-90% cure in 1-2 sessions
- Immediate relief possible! Many patients vertigo-free तुरंत बाद
- Post-maneuver instructions:
- Keep head upright – 48 hours
- Avoid lying flat – elevated pillow
- No quick head movements
- Resume normal activities after 2 days
If Symptoms Recur:
- BPPV can recur (30-50% patients कभी-कभी)
- Simply repeat maneuver – same effectiveness
- Some patients learn home exercises
Why Choose Dr. Prateek Porwal for BPPV?
- Developer of Bangalore Maneuver – internationally recognized treatment
- CAMVD Certified – specialized vertigo training
- 5000+ BPPV cases treated successfully
- 15+ years dedicated vertigo practice
- VNG facility available – accurate diagnosis
- Same day diagnosis and treatment
- Expert in all canal variants – posterior, horizontal, anterior
- Patient education – home exercises taught if needed
📞 लेटते-उठते चक्कर? BPPV Test & Treatment – Same Day!
✓ Bangalore Maneuver Expert ✓ Instant Diagnosis ✓ 90%+ Success ✓ Usually Cured in 1-2 Sessions
Consultation: ₹300-1200 | BPPV Treatment Same Visit
Frequently Asked Questions
बिल्कुल नहीं! Dix-Hallpike test painless है – बस position changes। हाँ, अगर BPPV positive है तो test के दौरान vertigo trigger होगा (10-30 sec) but यह diagnostic है। Maneuver के बाद relief होगा!
Dr. Prateek Porwal द्वारा developed innovative BPPV treatment technique। Special sequence of head/body positions जो displaced crystals को proper place पर move करती है। 90-95% success rate। More comfortable than traditional Epley maneuver। Internationally published और recognized!
हाँ absolutely! BPPV diagnosis test के तुरंत बाद repositioning maneuver perform होता है। Many patients same visit में ही vertigo-free हो जाते हैं। कुछ को 2nd session जरूरी होता है (1 week बाद)।
हाँ possible है – 30-50% patients को lifetime में recurrence हो सकता है। But don’t worry – simply maneuver repeat करते हैं, same effectiveness। कुछ patients home exercises सीख लेते हैं self-treatment के लिए।
48 hours: (1) Head upright रखें – completely flat न सोएं (2-3 pillows), (2) Quick head movements avoid, (3) Driving avoid first day। 2 days बाद normal activities resume। ये precautions crystals को proper place में settle होने देते हैं।
BPPV test, positional vertigo, letate uthate chakkar, Dix-Hallpike, Bangalore Maneuver, crystal repositioning, Dr Prateek Porwal
