Micki Harris Series: Central BPPV Mimics

7:00 PM – 9:00 PM

virtual on Zoom


2 Contact Hours awarded.
Discount to attend all 3 lectures in the series.

In this webinar we will quickly review typical management of individuals with benign paroxysmal positional vertigo so that we can discuss the differential diagnosis of potentially hazardous central causes of positional dizziness.

 Describe evaluation and treatment of typical posterior canal and horizontal canal BPPV
 Describe typical progression and management of individuals with posterior and horizontal canal BPPV
 Identify potential causes of central positional dizziness
 Differentiate symptoms of central causes of dizziness from BPPV
 Differentiate signs on a vestibular exam of central causes of dizziness from BPPV
 Demonstrate case examples of individuals with central causes of dizziness that mimic BPPV

Presented by:
Cory Hall PT, DPT, NCS

Dr Cory Hall is an Assistant Professor of Physical Therapy at Franklin Pierce University in Manchester, NH teaching curriculum related to Neuroanatomy, Motor Control, Kinesiology and Biomechanics. Dr Hall still treats patients as a physical therapist with aboard certification in neurologic physical therapy in his home of Portland, ME focusingon balance and walking disorders secondary to neurologic impairments in the outpatient setting. He received his Doctorate in Physical Therapy from Virginia Commonwealth University as well as completing neurologic clinical specialist training while working in inpatient rehab with individuals with acquired brain injury and debility. Dr Hall is equallyexcited to talk to other about their areas of passion as he is to share his passion for
managing balance and walking disorders.

1. Bertholon P, Tringali S, Faye MB, Antoine JC, Martin C. Prospective Study of
Positional Nystagmus in 100 Consecutive Patients. Ann Otol Rhinol Laryngol.
2006;115(8):587-594. doi:10.1177/000348940611500804
2. Bhattacharyya, Neil, et al. “Clinical Practice Guideline: Benign Paroxysmal
Positional Vertigo (Update).” Otolaryngology–Head and Neck Surgery, vol. 156,
no. S3, 2017, https://doi.org/10.1177/0194599816689667.
3. Chen YX, Sun HJ, Mu XT, et al. Intracranial tumors mimicking benign paroxysmal
positional vertigo: A case series. Front Neurol. 2022;13:925883.

4. Dunniway HM, Welling DB. Intracranial Tumors Mimicking Benign Paroxysmal
Positional Vertigo. Otolaryngol--head neck surg. 1998;118(4):429-436.
5. Eggers SDZ, Bisdorff A, Von Brevern M, et al. Classification of vestibular signs
and examination techniques: Nystagmus and nystagmus-like movements:
Consensus document of the Committee for the International Classification of
Vestibular Disorders of the Bárány Society. VES. 2019;29(2-3):57-87.
6. El-Badry MM, Samy H, Kabel AM, Rafat FM, Sanyelbhaa H. Clinical criteria of
positional vertical nystagmus in vestibular migraine. Acta Oto-Laryngologica.
2017;137(7):720-722. doi:10.1080/00016489.2017.1318220
7. Gimmon Y, Millar J, Pak R, Liu E, Schubert MC. Central not peripheral vestibular
processing impairs gait coordination. Exp Brain Res. 2017;235(11):3345-3355.
8. Herdman, Susan. Vestibular Rehabilitation (Contemporary Perspectives in
Rehabilitation). FA Davis Company, 2007.
9. Joshi P, Mossman S, Luis L, Luxon LM. Central mimics of benign paroxysmal
positional vertigo: an illustrative case series. Neurol Sci. 2020;41(2):263-269.
10. Lemos J, Strupp M. Central positional nystagmus: an update. J Neurol.
2022;269(4):1851-1860. doi:10.1007/s00415-021-10852-8
11. Macdonald NK, Kaski D, Saman Y, Al-Shaikh Sulaiman A, Anwer A, Bamiou DE.
Central Positional Nystagmus: A Systematic Literature Review. Front Neurol.
2017;8:141. doi:10.3389/fneur.2017.00141
12. Power L, Murray K, Bullus K, Drummond KJ, Trost N, Szmulewicz DJ. Central
Conditions Mimicking Benign Paroxysmal Positional Vertigo: A Case Series.
Journal of Neurologic Physical Therapy. 2019;43(3):186-191.
13. Von Brevern M, Radtke A, Clarke AH, Lempert T. Migrainous vertigo presenting
as episodic positional vertigo. Neurology. 2004;62(3):469-472.
14. Young AS, Nham B, Bradshaw AP, et al. Clinical, oculographic, and vestibular
test characteristics of vestibular migraine. Cephalalgia. 2021;41(10):1039-1052.


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