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This non-systematic review discusses practical options for evaluating and treating BPPV by comparing two recent guideline sets from the American Academy of Otolaryngology—Head and Neck Surgery and the American Academy of Neurology. Key distinctions include diagnostic and recommended treatment approaches, with conclusions on guideline scope and quality for clinician use.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/benign-paroxysmal-positional-vertigo-comparison-of-two-recent-international-guidelines/209057/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/benign-paroxysmal-positional-vertigo-comparison-of-two-recent-international-guidelines/209057.png","ImageObject",300,407,{"name":92,"@type":93},"Jacob","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What clinical features define benign paroxysmal positional vertigo (BPPV)?","Question",{"text":113,"@type":114},"BPPV is characterized by vertigo that lasts for a few seconds, typically triggered by changes in head position. It is usually managed with head positioning maneuvers and may present with rotational dizziness and non-progressive patterns.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which guidelines are compared, and what is the review aim?",{"text":118,"@type":114},"The paper compares two recent guidelines: those from the American Academy of Otolaryngology—Head and Neck Surgery and those from the American Academy of Neurology. The aim is to discuss practical current options to manage BPPV.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the main differences in diagnosis and recommended treatments between the two guideline sets?",{"text":122,"@type":114},"The AAO-HNS guidelines recommend the Dix-Hallpike test for BPPV diagnosis. Both guidelines differ in methods, while canalith repositioning, Semont maneuver, and vestibular rehabilitation showed benefit and were recommended as good treatment options.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},209057,1788608821,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":144},962084931830,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Braz J Otorhinolaryngol.  \n~~  ~~2011;77(2):~~ ~~[191-200.](191-200. ORIgInAL ARTIcLE BJORL.org)~~[ ](191-200. ORIgInAL ARTIcLE BJORL.org)~~[ORIgInAL](191-200. ORIgInAL ARTIcLE BJORL.org)~~[ ](191-200. ORIgInAL ARTIcLE BJORL.org)~~[ARTIcLE](191-200. ORIgInAL ARTIcLE BJORL.org)~~[ BJORL](191-200. ORIgInAL ARTIcLE BJORL.org)~~[.org](191-200. ORIgInAL ARTIcLE BJORL.org)~~ ~~  \nBenign Paroxysmal Positional Vertigo: comparison of two recent  \ninternational guidelines  \nAndré Luís dos Santos Silva1, Marina Reis Campos Marinho2, Fabiana Maria de Vasconcelos Gouveia3, Julio  \nGuilherme Silva4, Arthur de Sá Ferreira5, Renato Cal6  \nKeywords:  \npractice guidelines as topic, rehabilitation, vertigo.  \nAbstract  \nBenign paroxysmal positional Vertigo (BppV) is characterized by vertigo, lasting for a few seconds and usually managed by head positioning maneuvers. To educate clinicians concerning the state-ofthe art knowledge about its management, the international societies developed guidelines.  \nAim: the aim of this paper is to discuss, in a practical fashion, the current options available to manage BppV.  \nMethod: Study design: non-systematic review. This study reviews two recent guidelines regarding the evaluation and treatment of BppV. The first one was published by the American Academy of Otolaryngology Head and neck surgery (AAO-HnS) and the other by the American Academy of neurology (AAn) . The similarities were presented in different tables.  \nResults: Those guidelines presented differences regarding methods. Only the AAO-HnS guidelines recommend the dix-Hallpike test for the diagnosis of BppV. Only canalith repositioning maneuver, Semont maneuver and vestibular rehabilitation had showed some benefit and were recommended as good treatment options.  \nConclusions: Both guidelines fulfilled all the aspects required for clinicians to diagnosed and manage BppV; only the AAO-HnS’s guidelines were more comprehensive and of better quality.  \n1 PhD in Physical Therapy. Adjunct Professor of the Graduate Program in Rehabilitation Sciences-UNISUAM-Rio de Janeiro-RJ.  \n2 Physical Therapist-UFPE. Major interest in Vestibular Rehabilitation.  \n3 MSc. Professor-Department of Physical Therapy-UFPE.  \n4 PhD. Adjunct Professor of the Graduate Program in Rehabilitation Sciences-UNISUAM-Rio de Janeiro-RJ.  \n5 PhD. Adjunct Professor of the Graduate Program in Rehabilitation Sciences-UNISUAM-Rio de Janeiro-RJ.  \n6 ENT. Otology and Neurotology Fellow-Harvard University-USA. Preceptor at the ENT Medical Residency Program in The Federal University of Pará . Graduate Program in Rehabilitation Sciences-UNISUAM-Rio de Janeiro-RJ.  \nSend correspondence to: André Luís dos Santos Silva D.Sc Programa de Pós-Graduação-UNISUAM Mestrado Acadêmico em Ciências da Reabilitação-Praça das Nações 34 Bonsu  \ncesso Rio de Janeiro 21.041-021.  \nTel. (5521) 3882-9962-E-mail: [delandre@infolink.com.br](delandre@infolink.com.br)  \nPaper submitted to the BJORL-SGP (Publishing Management System – Brazilian Journal of Otorhinolaryngology) on April 11, 2010;  \nand accepted on June 05, 2010. cod. 6997  \nBrazilian Journal of otorhinolaryngology 77 (2) March/april 2011 [http://www.bjorl.org / e-mail:](http://www.bjorl.org / e-mail:) [revista@aborlccf.org.br](revista@aborlccf.org.br)  \nINTRODUCTION  \nVertigo corresponds to the feeling of rotation in the environment or having the environment rotate around oneself1. Benign paroxysmal positional Vertigo (BppV), described in 1921 is very likely the most common cause of vertigo, with a prevalence of 20%-30% in specialized clinics2,3 . The main symptom is the feeling of rotational dizziness triggered by a change in head position. it can happen in an unpredictable and sudden way, but it does not have a progressive pattern4. parnes et al.5 reported that approximately 58% of the BppV cases do not have a clearly identified cause. its primary form corresponds to 50-70% of the cases. On the other hand, the second most common cause is head injury (7%","cbCaiepaMAHFKbwy","https://ap.wps.com/l/cbCaiepaMAHFKbwy","pdf",274700,"English","# Introduction\n## Background and epidemiology\n## Diagnosis and treatment approaches","[{\"question\":\"What clinical features define benign paroxysmal positional vertigo (BPPV)?\",\"answer\":\"BPPV is characterized by vertigo that lasts for a few seconds, typically triggered by changes in head position. It is usually managed with head positioning maneuvers and may present with rotational dizziness and non-progressive patterns.\"},{\"question\":\"Which guidelines are compared, and what is the review aim?\",\"answer\":\"The paper compares two recent guidelines: those from the American Academy of Otolaryngology—Head and Neck Surgery and those from the American Academy of Neurology. The aim is to discuss practical current options to manage BPPV.\"},{\"question\":\"What are the main differences in diagnosis and recommended treatments between the two guideline sets?\",\"answer\":\"The AAO-HNS guidelines recommend the Dix-Hallpike test for BPPV diagnosis. Both guidelines differ in methods, while canalith repositioning, Semont maneuver, and vestibular rehabilitation showed benefit and were recommended as good treatment options.\"}]","Benign Paroxysmal Positional Vertigo - comparison of two recent international guidelines | PDF",25]