Zahide ÇİLER BÜYÜKATALAY, Mine BAYDAN, Özge Selen AVCI, Seçil YEĞİN, Kübra BİNAY, Gülçin HANÇER, Seher ÖZTAŞ, Suna YILMAZ

Baş Dönmesi Şikayeti Olan Hastaların Etiyolojik ve Demografik Özellikleri, Retrospektif İncelemesi

Amaç: Baş dönmesi ve dengesizlik %20-30’luk yaygınlık oranı ile tıbbi konsültasyonun en yaygın nedenleri arasındadır. Baş dönmesi ve/veya dengesizlik spesifik olmayan semptomlardır, santral ve periferik bozukluklar da dahil olmak üzere çeşitli bozukluklardan kaynaklanabilir. Bu çalışmada vestibüler semptomları olan hastaların etiyolojik ve demografik özelliklerinin anlaşılması amaçlanmıştır. Gereç ve Yöntem: Eylül 2018-Eylül 2019 tarihleri arasında Ankara Üniversitesi İbn-i Sina Hastanesi Kulak Burun Boğaz Anabilim Dalı İşitme, Konuşma ve Denge Bozuklukları Merkezi’ne baş dönmesi ve/veya dengesizlik şikayeti ile başvuran hastaların tıbbi profilleri retrospektif olarak incelenmiştir. Bulgular: Çalışmaya 6 ila 89 yaş arası toplam 444 hasta dahil edilmiştir. Yaş grupları ve altta yatan neden göz ardı edildiğinde, kadınların baş dönmesi/dengesizlikten daha sık etkilendiği gözlenmiştir. Baş dönmesi/dengesizliğin en sık nedeni benign paroksismal pozisyonel vertigo (%59,23) ve ardından unilateral/bilateral vestibüler hipofonksiyon (%20,72), santral patolojiler (%14,63), Meniere hastalığı (%3,60) ve vestibüler nörinit (%1,80) olarak gözlenmiştir. Santral vestibüler bozukluklar çocuklarda en sık görülen patolojidir (%53,84). Sonuç: Yetişkinlerde en sık görülen rahatsızlık periferik vestibüler bozukluk ve en sık rastlanan tanı benign paroksismal pozisyonel vertigo idi. Santral vestibüler bozukluklar çocuklarda en sık görülen patoloji olarak kaydedildi. Baş dönmesi/dengesizlik ile ilişkili bozuklukların optimal tanısı için multidisipliner bir yaklaşım gerekmektedir.

Etiological and Demographic Characteristics of Patients with Vestibular Symptoms, Retrospective Analysis

Objectives: Vertigo and dizziness are among the most common causes of medical consultation, with an estimated prevalence of 20% and 30%.Vertigo and/or dizziness are non-specific symptoms that can be caused by various disorders including central and peripheral disorders. The presentstudy aimed to understand etiological and demographic characteristics of patients with vestibular symptoms.Materials and Methods: Retrospective analysis of medical profiles of patients who suffered from vertigo and/or dizziness and sought medicaladvice from Ankara University İbn-i Sina Hospital otorhinolaryngology Department, Hearing, Speaking and Balance Disorders Center betweenSeptember 2018 and September 2019 was performed.Results: A total of 444 patients between the age of 6 and 89 years were included in the study. Disregarding age groups and underlying cause, itwas observed that women were more frequently affected by vertigo/dizziness. The most frequent cause of vertigo/dizziness was benign paroxysmalpositional vertigo (59.23%) followed by unilateral/bilateral vestibular hypofunction (20.72%), central pathologies (14.63%). Meniere’s disease(3.60%) and vestibular neuritis (1.80%). Central vestibular disorders were found to be the most common pathology in children (53.84%).Conclusion: The most common disorder was the peripheral vestibular disorder and the most common diagnosis was benign paroxysmal positionalvertigo in adults. Central vestibular disorders were recorded as the most common pathology in children. Optimal diagnosis of vertigo/dizzinessrelated disorders requires a multidisciplinary approach.

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