Brief spinning triggered by head position may fit BPPV, but not every episode of dizziness originates in the ear. Appropriate positional testing clarifies the diagnosis.
Confirmed BPPV is primarily treated with a manoeuvre suited to the affected canal. HINTS is not a routine BPPV test; trained clinicians use it in appropriate acute continuous vestibular syndromes. Suspicious or uncertain findings may require further assessment and imaging.
The clinician assesses episode duration, movement triggers, hearing and neurological symptoms. Findings guide positional tests, audiometry or imaging. Online manoeuvres are not appropriate for every cause of dizziness.
Seek emergency care for new speech difficulty, limb weakness, double vision, inability to stand or sudden severe headache. Avoid driving while dizzy and take precautions against falls.
This information does not replace an individual consultation. Diagnosis and treatment depend on a medical assessment.
Consultation and treatment