Can Benign Paroxysmal Positional Vertigo (BPPV) resolve on its own?

Vertigo caused by otoliths refers to benign paroxysmal positional vertigo (BPPV). Whether BPPV can resolve spontaneously depends on the severity of the condition. If the condition is mild, it generally can resolve naturally; however, if the condition is severe, spontaneous resolution is unlikely.

BPPV occurs when otoliths in the inner ear become dislodged and enter the semicircular canals, causing brief and intense episodes of dizziness when head position changes. In some patients with mild symptoms, transient dizziness typically occurs after changing body positions. The natural course of the condition usually lasts from several days to several months, rarely exceeding one year. However, vertigo that resolves spontaneously may recur.

However, patients with severe symptoms, such as vertigo accompanied by nausea, vomiting, or nystagmus (involuntary eye movement), may not recover without treatment. In such cases, patients are advised to seek timely medical attention for professional treatments like canalith repositioning procedures. Additionally, for patients with persistent BPPV who do not respond to conservative treatments and have prolonged symptoms, surgical intervention may be considered.

The treatment of BPPV should be evaluated and guided by a qualified physician to ensure safety and effectiveness.