Talk:Benign paroxysmal positional vertigo

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You have new messages (last change).

This article is becoming very busy and disconnected.

I evaluate and treat BPPV patients daily. This article seems to focus more on rare associated symptoms instead of what is most common and most likely.

Let's stay with what is helpful and stay away from rare but possible symptoms. Let's keep this article helpful rather than confusing. (Previously deleted comment originally posted on 05:36, 30 April 2006 by Edslee)

1) I don't think is is appropriate to delete previous discussions about this topic.

  • I agree. I've restored the only deleted comment I could find in the edit history accordingly. (Vanessaezekowitz 00:19, 6 January 2007 (UTC))

2) Someone added a new link (MedTerms).

  • After reviewing the link, I think it is a poor description / definition of what BPPV is. My opinion is that it should be removed. Thoughts?
  • I agree. BPPV is not a "balance disorder."
  • True, it is a vestibular disorder. In any case, there are many more complete definitions of BPPV which are available to the public. I am not sure that the link adds anything to the page that is not already on the page. I think it should be removed also.
  • I removed it. - mab

3)DizzyFix Reference

  • I don't think it should be in the body of the article. It is a commerical reference. I do agree that it is something that potentially can be very helpful to some patients. I suggest that it be moved to "external reference". Thoughts? -edslee
  • Wikipedia is not indented as a venue for commercials, however, so long as an idea is presented fairly and in a balanced perspective, as this appears to be, there is no reason to eliminate useful information from the body of articles. Imagine, if you eliminated references to "FORD" or "Microsoft" simply because they are companies. The Dizzyfix is presented as a home treatment device and balanced by the presentation of other hospital based devices. Both listed devices are treatments for BPPV and appear only in the treatment section. I therefore think it appropriate that they appear in the body of the article. I agree with edslee, care should be taken, but so long as commercial references are useful and fair they should be included in the body. -mab
  • Just to cite Wikipedia itself:
    • Advertising. Articles about companies and products are acceptable if they are written in an objective and unbiased style.
  • I guess it can stay -JFB

4) Slurred Speech.

  • Slurred Speech is not caused by BPPV. A rare few people may seem to have slurred speech due to the confusion and fear of the sudden onset of what may be frightening symptoms. However, there is no slurred speech. A stroke will cause slurred speech depending on the area of the brain that is affected. BPPV is a peripheral problem. It does not cause slurred speech. If you find slurred speech, you most likely got something else. Any other opinions? -edslee
  • edslee is correct - slurred speech is never associated with BPPV. Having it listed as a symptom is misleading and in fact dangerous, as slurred speech can be associated with stroke. I removed it. - mab

(04:58, 9 November 2006 Edslee)

  • According to an ENT my husband consulted today for this very problem, the crystals can touch the hairs inside the canal and cause the symptoms to occur, in addition to that caused by the motion of the fluid. Vanessaezekowitz 00:19, 6 January 2007 (UTC)
  • That is almost correct. The "hair" you refer to (know as kinocilia) is in fact inside a small structure called a cupula. This can be likened to plastic wrap over the end of a large pipe. When fluid in the pipe moves it may buldge the plastic wrap causing the "hairs" inside the plastic wrap to bend which results in nerve energy being produced. The crystals seen in BPPV can either cuase the fluid to move (called canalolithasis) or actually sit on the palstic wrap itself (called cupulolithiasis). In this case the weight of the crystals causes the plastic wrap (cupula) to bend with gravity. This being said, only the first explanation (canalolithiasis) has been proven, the other (cupulolithiasis) is still a theory.- mab
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