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Best practice assessment and management of benign paroxysmal positional vertigo in older adults

Lookup NU author(s): Hilary Cox, Dr James FrithORCiD

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Abstract

© The Author(s) 2025.Benign paroxysmal positional vertigo (BPPV) is a common and disabling condition, with prevalence increasing with advancing age. It typically causes positional dizziness but is also common in those with balance abnormalities and falls without the typical dizziness. It is an underdiagnosed problem, which can lead to reduced quality of life, depression and increased falls risk. Whilst the diagnosis and treatment of the commonest form of BPPV (posterior canal) is straightforward in robust and younger populations, this is frequently not the case in people with multiple long-term conditions or frailty. Barriers to diagnosis and treatment of BPPV in each of the three canals can be overcome with simple practical measures, which are presented here. Given the lack of good quality evidence in this area, this best practise article presents evidence, where it exists, alongside expert clinical experience.

Publication metadata

Author(s): Cox H, Frith J

Publication type: Article

Publication status: Published

Journal: Age and Ageing

Year: 2025

Volume: 54

Issue: 8

Print publication date: 17/08/2025

Online publication date: 17/08/2025

Acceptance date: 24/07/2025

Date deposited: 01/09/2025

ISSN (print): 0002-0729

ISSN (electronic): 1468-2834

Publisher: Oxford University Press

URL: https://doi.org/10.1093/ageing/afaf225

DOI: 10.1093/ageing/afaf225

PubMed id: 40819291

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