Quick Answer
Brief positional vertigo is not the same as migrainous vertigo —— description decides.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Vertigo care starts with description: duration, triggers and accompaniments.
BPPV: seconds-long spinning on rolling over or looking up, often with nystagmus on Dix-Hallpike —— positional maneuvers are first-line when appropriate. Vestibular migraine: 5 minutes to 72 hours of vertigo, with migrainous features or history, with or separate from headache —— managed per B—r—ny criteria. Central vertigo: persistent imbalance with dysarthria, diplopia or weakness —— not managed as BPPV; urgent neuroimaging is considered. Otologic vertigo (Meni—re, labyrinthitis): hearing symptoms predominate —— ENT co-evaluation is arranged.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for vertigo.
At the clinic, Dr. Jitendra Prasad Yadav (NMC 8029) performs history-driven vestibular and neurological examination, positional testing when safe, and orders vestibular/MRI only when the pattern indicates it. Migraine-based prevention, repositioning or referral is discussed transparently.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Vertigo is a subtype of dizziness; other forms include lightheadedness and imbalance, each suggesting different causes.
BPPV (Benign Paroxysmal Positional Vertigo) causes brief spinning with head movement. Positional maneuvers performed by a healthcare provider are often effective.
Cervical sensations can coexist, but dizziness is often multifactorial and needs systematic assessment rather than assuming a single neck cause.
Yes; vertigo is the sensation of spinning. Dizziness is a broader term including lightheadedness, unsteadiness, and near-fainting. Different causes underlie each.
Brief spinning on rolling over or looking up suggests BPPV (ear, seconds, positional). Recurrent vertigo lasting 5 minutes to 72 hours with photophobia or migraine history suggests vestibular migraine (brain). Persistent imbalance with slurred speech or double vision suggests central cause and is urgent. At the clinic,…
Vertigo is spinning. Dizziness is broader — lightheaded, faint, unsteady. Vertigo often indicates vestibular dysfunction (inner ear or brain) and is typically triggered by head position change, while lightheadedness often reflects blood pressure, dehydration, or medication effects. Duration and triggers guide evaluatio…
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BPPV Treatment in Kathmandu: Positional Exercises, Not Lifelong Medicine
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References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.