مريض يشتكي دوخة دوارة لثوانٍ عند الاستلقاء أو التقلب في السرير، بدون ضعف أو مشاكل كلام. ما التشخيص الأرجح وعلاجه؟

A client has spinning vertigo for seconds when lying down or turning in bed, with no weakness or speech problems. What is the likely diagnosis and treatment?

1. Ménière’s disease, treated with immediate surgery
2. Stroke, treated with thrombolysis
3. Benign positional vertigo, treated with the Epley manoeuvre
4. Otitis media, treated with antibiotics

Answer: C) Benign positional vertigo, treated with the Epley manoeuvre. BPPV comes from crystals in the semicircular canals and is usually treated with a repositioning manoeuvre (Epley). Vertigo with neurological signs needs stroke excluded.