Motokros yarışçıları arasında benign paroksismal pozisyonel vertigo prevalansı: Olgu kontrollü çalışma

Amaç: Bu çalışmada motokros yarışçıları arasında kros yarışında tepeye çıkış ve tepeden iniş aktiviteleri sonrası benign paroksismal pozisyonel vertigo BPPV prevalansı araştırıldı.Hastalar ve Yöntemler: Bu olgu kontrollü çalışmaya 40 motokros yarışçısı 39 erkek, 1 kadın; ort. yaş 26 yıl; dağılım 21-43 yıl ve işitme veya denge sorunu olmayan 40 sağlıklı kontrol 30 erkek, 10 kadın; ort. yaş 28 yıl; dağılım 22-43 yıl alındı. Benign paroksismal pozisyonel vertigo tanısının doğrulanması için Dix-Hallpike manevrası uygulandı. Benign paroksismal pozisyonel vertigolu hastalara bir ay boyunca her hafta Epley manevrası uygulandı ve hastalar tedavi yanıtının değerlendirilmesi için takip edildi.Bulgular: Motokros ve kontrol grupları demografik ve laboratuvar parametreleri açısından benzerdi. Dix-Hallpike manevrası sonuçlarına ve klinik bulgulara göre dört %10 motokros yarışçısında BPPV saptanırken kontrol grubunda BPPV yoktu. Benign paroksismal pozisyonel vertigolu motokros yarışçılarından üçünde tek taraflı, birinde çift taraflı hastalık vardı. Bu hastalardan ikisine iki defa, diğer ikisine üç defa Epley manevrası uygulandı. Bir ay içinde BPPV’li hiçbir hastada vertigo veya nistagmus yoktu.Sonuç: Yoğun motokros aktivitesi kafa travması olmadan oluşan post-travmatik BPPV’nin bir nedenidir. Motokros yarışçılarında BPPV’nin post-travmatik etyolojisinin tespiti için geniş ölçekli, randomize kontrollü çalışmalara ihtiyaç vardır

Anahtar Kelimeler:

Motokros yarışçıları, repozisyon manevraları, vertigo

Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study

Objectives: This study aims to investigate the prevalence of benign paroxysmal positional vertigo BPPV among motocross racers after cross-country up and downhill activities. Patients and Methods: This case-control study included 40 motocross racers 39 males, 1 female; mean age 26 years; range 21 to 43 years and 40 healthy controls 30 males, 10 females; mean age 28 years; range 22 to 43 years who had no hearing or balance problems. The Dix-Hallpike maneuver was applied to confirm the diagnosis of BPPV. Patients with BPPV were administered the Epley maneuver every week for one month and followed-up for treatment response assessment. Results: Motocross and control groups were similar in terms of demographic and laboratory parameters. While BPPV was detected in four motocross racers 10% according to Dix-Hallpike maneuver outcome and clinical findings, there was no BPPV in the control group. Of the motocross racers with BPPV, three had unilateral, one had bilateral disease. Of these patients, Epley maneuver was applied two times in two patients and three times in the other two patients. There was no vertigo or nystagmus in any of the patients with BPPV in one month. Conclusion: Intensive motocross activity is a cause of post-traumatic BPPV developing without head trauma. Large-scale, randomized controlled studies are needed to establish the post-traumatic etiology of BPPV in motocross racers.

Keywords:

Motocross racers, repositioning maneuvers, vertigo,

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