Pandemi Sürecinde Bulunmanin Benign Paroksismal Pozisyonel Vertigo İle İlişkisi Var Mı?

Amaç: Bu çalışmamızda COVID-19 enfeksiyonuna bağlı pandemi sürecinde bulunmanın BPPV ile ilişkisi araştırılmaktadır.Materyal ve Metot: Bu çalışmaya 2020 Kasım-2021 Şubat arasında Karaman Eğitim ve Araştıma Hastanesi’ne başvuran ve kendisine provakatif testlerle BPPV tanısı konulup kanala spesifik repozisyon manevrası uygulanan 67 hasta çalışmaya dahil edildi. Hastalara baş dönmesi şikayeti başladıktan kaç gün sonra polikliniğe başvurdukları, daha önce atak geçirip geçirmedikleri, tedavi için kaç defa manevra uygulandığı ve manevra sonrası baş dönmelerinin ne zaman düzeldiği soruldu. Rekürrens açısından hastalara 12 ay takip süreci uygulandı.Bulgular: Çalışmaya katılanların %64.2’si kadın, %35.8’i erkeklerden oluşmaktaydı. Hastaların ortalama yaşları 55.34±16.58 idi. Hastaların %80.6’sinin daha önce atak geçirmedikleri tespit edildi. Ortalama 12 aylık takip sürecinde hastaların %94’ünde yeni bir atak tespit edilmedi. Hastalara uygulanan tedavi edici manevra sayısının ortalama 1.5 olduğu gözlendi. Hastaların 14’ünde COVID-19 enfeksiyonu öyküsü mevcuttu.Sonuç: Çalışmamızda, COVID-19 enfeksiyonuna bağlı pandemi süreci periferik vestibüler sistemi etkileyerek BPPV ile ilişkili gibi görülmektedir. COVID-19 enfeksiyonuna bağlı pandemi süreci tedavi manevra sayısında ve BPPV rekürrensinde de bir artışa neden olmamaktadır. Bu konuda yapılacak çalışmalar bu durumun aydınlatılmasında bize ayrıca katkı sağlayacaktır.

Anahtar Kelimeler:

Benign paroksismal pozisyonel vertigo, Rekürrens, COVID-19, Dizziness

Is There an Association Between Benign Paroxysmal Positional Vertigo and the COVID-19 Pandemic?

Aim: To determine whether or not there is any relationship between benign paroxysmal positional vertigo (BPPV) and the COVID-19 pandemic.Material and Methods: The study included 67 patients who presented at Karaman Training and Research Hospital between November 2020 and February 2021, were diagnosed with BPPV with provocative tests, and were applied with canal-specific repositioning manoeuvre. The patients were questioned in respect of how many days after the onset of dizziness complaints they presented at the polyclinic, whether or not they had previously experienced such an attack, how many times the manoeuvre was applied in treatment, and when the dizziness recovered after the manoeuvre. The patients were followed up for 12 months in respect of recurrence.Results: The 67 patients comprised 64.2% females and 35.8% males with a mean age of 55.34±16.58 years. A previous attack was reported by 80.6% of the patients. During the mean 12-month follow-up period, 94% of the patients experienced no new attack. The mean number of therapeutic manoeuvres applied to each patient was 1.5. There was determined to be a history of COVID-19 infection in 14 patients. Conclusion: The results of the study showed that there seemed to be a relationship between BPPV and the pandemic by COVID-19 infection affecting the peripheral vestibular system. The association with COVID-19 infection did not cause any increase in the number of therapeutic manoeuvres or BPPV recurrence. Further studies will contribute to clarifying this condition.

Keywords:

Benign paroxysmal positional vertigo, Recurrence, COVID-19, dizziness,

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