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Benign Paroxysmal Positional Vertigo Causes The reason for BPPV is usually a mystery and in about 50 percent of the occurrences of BPPV, the reason is by no means found. It really is unclear why little contaminants become dislodged within the internal ear. It might be because of minor head damage or due to repetitive head movement . Other notable causes may include the next: viral infections,nerve irritation ,complication of hearing surgery ,medication unwanted effects, and/orrapid head movements.