Benign Paroxysmal Positional Vertigo

This paper focuses on the justification for changing the terminology of the most frequent peripheral vestibular disorder, called benign paroxysmal positional vertigo (BPPV). Below, we argue that continued use of "benign" is a misnomer because many patients are adversely affected by BPPV. In addition, the term squanders its critical, distinguishing cause by omitting "peripheral." Instead, we support changing the nomenclature from BPPV to peripheral paroxysmal positional vertigo ([PPPV], or [3 PV]).

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Publication Details

Journal
Neurology
Published
2026-03-31
DOI
https://doi.org/10.1212/wnl.0000000000214861
Primary Topic
Vestibular and auditory disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

Benign Paroxysmal Positional Vertigo

Biru Zhang, David S. Zee, Herman Kingma, Michael Halmagyi et al.
Neurology
Vestibular and auditory disorders
article

Benign Paroxysmal Positional Vertigo

Biru Zhang, David S. Zee, Herman Kingma, Michael Halmagyi, Francisco Carlos Zuma e Maia, Michael von Brevern, Anita Bhandari, Michael Strupp, Ji-Soo Kim, Michael C. Schubert, Susan L. Whitney, Thomas Brandt
article en

Abstract

This paper focuses on the justification for changing the terminology of the most frequent peripheral vestibular disorder, called benign paroxysmal positional vertigo (BPPV). Below, we argue that continued use of "benign" is a misnomer because many patients are adversely affected by BPPV. In addition, the term squanders its critical, distinguishing cause by omitting "peripheral." Instead, we support changing the nomenclature from BPPV to peripheral paroxysmal positional vertigo ([PPPV], or [3 PV]).

NeurologyVol. 106(8)
Johns Hopkins University (US), University of Pittsburgh (US), Royal Prince Alfred Hospital (AU), Johns Hopkins Medicine (US), Maastricht University Medical Centre (NL), Seoul National University Bundang Hospital (KR), LMU Klinikum (DE), Maastricht University (NL), Equilibrium Research (GB), German Center for Lung Research (DE), Sociedade Brasileira de Oncologia Clínica (BR), Southern Medical University (CN), Charité - Universitätsmedizin Berlin (DE), Ludwig-Maximilians-Universität München (DE)
Reduced inequalities
Openalex Percentile: Top 29%
Vestibular and auditory disorders
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