Süha ERTUĞRUL, Emre SÖYLEMEZ, Tuğçe GÜREL

Repozisyon manevrası ile tedavi edilen endolenfatik hidrops ve benign paroksismal pozisyonel vertigo birlikteliği: Bir olgu sunumu

Benign paroksismal pozisyonel vertigo (BPPV), ani baş hareketleriyle ortaya çıkan ve saniyeler süren baş dönmesiyle karakterize periferik vestibüler bir hastalıktır. Endolenfatik hidrops ise iç kulakta endolenfatik basıncın artmasına bağlı olarak işitme kaybına, kulak çınlamasına, kulakta dolgunluk hissine ve baş dönmesine neden olan vestibüler bir patolojidir. BPPV ve endolenfatik hidrops iki farklı antite olarak düşünülse de, son zamanlarda bu iki hastalık arasında bir ilişki olabileceği bildirilmiştir. Ancak bilgimiz dahilinde, literatürde repozisyon manevrası ile endolenfatik hidrops bulgularının düzeldiği bir olguya rastlanmamıştır. Biz bu yazıda, repozisyon manevrası ile düzelen ani gelişmiş endolenfatik hidrops ve BPPV birlikteliği olan bir olgu eşliğinde bu iki hastalık arasındaki ilişkiyi tartıştık.

Anahtar Kelimeler:

endolenfatik hidrops, işitme kaybı, repozisyon manevrası, Benign paroksismal posizyonel vertigo

Coexistence of endolymphatic hydrops and benign paroxysmal positional vertigo treated with repositioning maneuver: A case report

Benign paroxysmal positional vertigo (BPPV) is a peripheral vestibular disease that occurs by sudden head movements and is characterized by dizziness that lasts for seconds. Endolymphatic hydrops is a vestibular pathology that causes hearing loss, tinnitus, fullness in the ear and dizziness due to increased endolymphatic pressure in the inner ear. Although BPPV and endolymphatic hydrops are considered as two different entities, it has recently been reported that there may be a relationship between these two diseases. However, the pathophysiology of this relationship has not been clearly elucidated. In this paper, we discussed the relationship between these two diseases accompanied by a patient with a sudden onset of endolymphatic hydrops and BPPV which was treated with repositioning maneuver.

Keywords:

Benign paroxysmal positional vertigo, endolymphatic hydrops, hearing loss, repositioning maneuver,

PDF

___

1. Karlberg M, Hall K, Quickert N, Hinson J, Halmagyi GM. What inner ear diseases cause benign paroxysmal positional vertigo? Acta Otolaryngol. 2000;120:380-5.
2. Lee SH, Kim JS. Benign paroxysmal positional vertigo. J Clin Neurol. 2010;6:51-63.
3. Chen YJ, Young YH. Secondary endolymphatic hydrops after acoustic trauma. Otol Neurol. 2016; 37:428-33.
4. Young YH, Huang TW, Cheng PW. Assessing the stage of Meniere’s disease using vestibular evoked myogenic poten¬tials. Arch Otolaryngol Head Neck Surg. 2003;129:815-8.
5. Arenberg IK, Stroud MH, Spector GJ, Carver WF. The salt loading provocative glycerol test for the early diagnosis of auditory endolymphatic hydrops (Meniere's disease) (a preliminary report). Rev Laryngol Otol Rhinol (Bord). 1974;95:709-19.
6. Levine S, Margolis RH, Daly KA. Use of electrocochleography in the diagnosis of Meniere's disease. Laryngoscope. 1998:108:993-1000.
7. Naganawa S, Sugiura M, Kawamura M, Fukatsu H, Sone M, Nakashima T. Imaging of endolymphatic and perilymphatic fluid at 3T after intratympanic administration of gadolinium-diethylene-triamine pentaacetic acid. AJNR Am J Neuroradiol. 2008;29:724-6.
8. Durrant JD, Dallos P. Modification of DIF summating potential components by stimulus biasing. J Acoust Soc Am. 1974; 56:562-70.
9. Mizukoshi K, Watanabe Y, Shojaku H, Okubo J, Watanabe I. Epidemiological studies on benign paroxysmal positional vertigo in Japan. Acta Otolaryngol Suppl. 1988;447:67-72.
10. Hughes CA, Proctor L. Benign paroxysmal positional vertigo. Laryngoscope. 1997;107:607-13.
11. Jahn AF. Benign positional vertigo and endolymphatic hydrops: what is the connection? J Laryngol Otol. 2017;131:658-60.
12. Waltner JG, Raymond S. On the chemical composition of perilymph and endolymph. Laryngoscope. 1950;60:912-18.
13. Johnsson LG, Hawkins JE Jr, Rouse RC, Linthicum GH Jr. Cochlear and otoconial abnormalities in capsular otosclerosis with hydrops. Ann Otol Rhinol Laryngol Suppl. 1982;97:3-15.