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They lie between the basal plasma membrane ofthe epithelial cells and the basal lamina of the epithelium(Fig.

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Patients withBPPV describe episodes of spinning triggered by lyingback in bed, by turning in bed, by bending and straight-ening, and with certain tilting movements of the head.Nausea may accompany the spells, but BPPV is not asso-ciated with diplopia, slurred speech, sensory changes, orconfusion.

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