An Epley maneuver works for a specific positional problem
BPPV often causes seconds of position-triggered spinning; its affected canal and side need examination before a maneuver is chosen.
Several explanations may be worth exploring
- Benign paroxysmal positional vertigoDisplaced inner-ear particles can trigger seconds of spinning with head positions.
- Vestibular migraineMigraine pathways can produce recurrent vertigo with motion or light sensitivity.
- Persistent postural-perceptual dizzinessA chronic balance-processing pattern can cause rocking and visual-motion discomfort.
- Ménière disease or other ear disorderFluctuating hearing or tinnitus may accompany episodic vestibular dysfunction.
- Vestibular neuritis or residual hypofunctionReduced vestibular function can leave motion-triggered imbalance after an acute episode.